Prospective controlled study for quality of life in elderly patients with inguinal hernia treated by Lichtenstein procedure

doi:10.3877/cma.j.issn.1674-392X.2021.02.013

Abstract

Abstract:

Objective

To investigate the effect of Lichtenstein procedure on the quality of life of elderly patients with inguinal hernia.

Methods

88 elderly patients with indirect hernia who were treated in Lishui district people's hospital from January 2017 to December 2018 were divided into the observation group (44 cases) and control group (44 cases) according to different surgical methods. Standard Lichtenstein procedure was performed in the observation group and mesh-plug repair was performed in the control group. The operation indexes, complications, scores of VAS and SF-36 in the two groups were observed and compared.

Results

There were no significant differences in operation time, postoperative hospitalization time and intraoperative blood loss between observation group and control group (P>0.05). There was no significant difference in overall postoperative complications between observation group and control group (34.09% vs 36.36%, P>0.05). Compared with 1stday after surgery, VAS scores of two groups were decreased at 3rd day and 1 month after surgery (P<0.05). The VAS scores of the observation group were lower than those of the control group at 1st and 3rd days after surgery (P<0.05). At 1 month after operation, there was no significant difference in VAS scores between the two groups (P>0.05). Compared with before treatment, SF-36 scores after treatmentin both groups were increased, and the scores in observation group was higher than that in control group (P<0.05).

Conclusion

In the treatment process of elderly patients with inguinal hernia, Lichtenstein procedure has equal effect as mesh-plug surgery, and can achieve positive therapeutic effect. Lichtenstein procedure can reduce postoperative pain of patients and has advantages in improving postoperative quality of life in elderly patients with inguinal hernia.

Key words: Hernia, inguinal, Elderly, Complications, Quality of life

Juhua Duan, Damin Chen, Yunxia Sun, Dian Yin, Yunxiu Sun, Guimei Liu. Prospective controlled study for quality of life in elderly patients with inguinal hernia treated by Lichtenstein procedure[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2021, 15(02): 169-172.

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References 20

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组别	例数	手术时间(min)	术中出血量(ml)	住院时间(d)
观察组	44	45.18±7.94	9.24±5.02	3.55±1.73
对照组	44	48.24±6.18	11.16±5.16	3.25±1.09
t值		4.849	3.453	2.705
P值		0.141	0.233	0.197

组别	例数	手术时间(min)	术中出血量(ml)	住院时间(d)
观察组	44	45.18±7.94	9.24±5.02	3.55±1.73
对照组	44	48.24±6.18	11.16±5.16	3.25±1.09
t值		4.849	3.453	2.705
P值		0.141	0.233	0.197

组别	例数	伤口并发症			阴囊并发症		其他并发症		合计
组别	例数	急性疼痛	局部感染	血肿	血清肿	睾丸炎	尿潴留	深部感染	合计
观察组	44	2(4.54)	0	1(2.27)	11(25.00)	1(2.27)	0	0	15(34.09)
对照组	44	3(6.82)	0	2(4.54)	10(22.73)	0	1(2.27)	0	16(36.36)
χ²值		1.048		2.047	2.047				4.470
P值		0.306		0.153	0.399				0.634

组别	例数	伤口并发症			阴囊并发症		其他并发症		合计
组别	例数	急性疼痛	局部感染	血肿	血清肿	睾丸炎	尿潴留	深部感染	合计
观察组	44	2(4.54)	0	1(2.27)	11(25.00)	1(2.27)	0	0	15(34.09)
对照组	44	3(6.82)	0	2(4.54)	10(22.73)	0	1(2.27)	0	16(36.36)
χ²值		1.048		2.047	2.047				4.470
P值		0.306		0.153	0.399				0.634

组别	例数	术后1 d	术后3 d	术后1个月
观察组	44	4.01±2.15	2.95±1.84^#	0.94±0.22^#
对照组	44	3.77±1.08	2.31±1.03^#	1.02±0.35^#
t值		5.508	5.159	1.284
P值		0.001	0.005	0.203

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