Analysis of influencing factors of transabdominal preperitoneal hernia repair on the treatment efficacy of indirect inguinal hernia

doi:10.3877/cma.j.issn.1674-392X.2023.03.011

Abstract

Abstract:

Objective

To explore the influencing factors of trans-abdominal preperitoneal hernia repair (TAPP) on the treatment of indirect inguinal hernia.

Methods

A total of 360 patients with indirect inguinal hernia who underwent TAPP in Ma’anshan General Hospital of Ranger-Duree Healthcare from September 2018 to September 2021 were selected. All patients were followed up for 6 months after surgery to observe postoperative recurrence. The clinical and follow-up data of patients were collected. Univariate and multivariate analysis were used to explore factors affecting the efficacy of TAPP.

Results

Univariate analysis showed that gender, age, body mass index, smoking history, chronic constipation, and history of abdominal trauma had an impact on the postoperative effect of TAPP in patients with indirect inguinal hernia 6 months after surgery (P<0.05). Multivariate analysis showed that gender, age, body mass index, smoking history, and chronic constipation are independent risk factors affecting the postoperative efficacy of TAPP (P<0.05).

Conclusion

Older male patients with a history of smoking, chronic constipation and high body mass index will increase the risk of recurrence after the treatment of TAPP repair. Timely intervention and adjustment for these patients are needed to improve the clinical efficacy of the treatment of TAPP for inguinal hernia.

Key words: Hernia, inguinal, Herniorrhaphy, Efficacy, Influencing factors

Jie Yang, Wei Xu. Analysis of influencing factors of transabdominal preperitoneal hernia repair on the treatment efficacy of indirect inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(03): 291-294.

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References 20

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影响因素		例数	复发[例(%)]	F/χ²	P
性别	女	59	4( 6.78)	12.202	0.034
性别	男	301	16( 5.32)
年龄	≥60岁	62	17(27.42)	68.237	<0.001
年龄	<60岁	298	3( 1.01)
职业	务工	136	6( 4.41)	0.728	0.992
	务农	116	7( 6.03)
	自由职业	98	7( 7.14)
体重指数	≥23 kg/m²	193	15( 7.77)	3.895	0.048
体重指数	<23 kg/m²	167	5( 2.99)
吸烟史	有	135	17(12.59)	20.385	<0.01
吸烟史	无	225	3( 1.33)
糖尿病史	有	89	10(11.24)	1.270	0.057
糖尿病史	无	271	10( 3.69)
慢性便秘	有	71	15(21.13)	40.869	<0.01
慢性便秘	无	289	5( 1.73)
腹水	有	74	10(13.51)	1.242	0.526
腹水	无	286	10( 3.50)
排尿困难	有	74	9(12.16)	1.749	0.595
排尿困难	无	286	11( 3.85)
腹部手术史	有	77	16(20.78)	3.265	0.092
腹部手术史	无	283	4( 1.41)
腹部外伤史	有	84	10(11.90)	3.418	0.093
腹部外伤史	无	276	10( 3.62)
切口感染	有	66	9(13.64)	1.057	0.692
切口感染	无	294	11( 3.74)
慢性咳嗽	有	75	9(12.00)	1.498	0.406
慢性咳嗽	无	285	11( 3.86)

影响因素		例数	复发[例(%)]	F/χ²	P
性别	女	59	4( 6.78)	12.202	0.034
性别	男	301	16( 5.32)
年龄	≥60岁	62	17(27.42)	68.237	<0.001
年龄	<60岁	298	3( 1.01)
职业	务工	136	6( 4.41)	0.728	0.992
	务农	116	7( 6.03)
	自由职业	98	7( 7.14)
体重指数	≥23 kg/m²	193	15( 7.77)	3.895	0.048
体重指数	<23 kg/m²	167	5( 2.99)
吸烟史	有	135	17(12.59)	20.385	<0.01
吸烟史	无	225	3( 1.33)
糖尿病史	有	89	10(11.24)	1.270	0.057
糖尿病史	无	271	10( 3.69)
慢性便秘	有	71	15(21.13)	40.869	<0.01
慢性便秘	无	289	5( 1.73)
腹水	有	74	10(13.51)	1.242	0.526
腹水	无	286	10( 3.50)
排尿困难	有	74	9(12.16)	1.749	0.595
排尿困难	无	286	11( 3.85)
腹部手术史	有	77	16(20.78)	3.265	0.092
腹部手术史	无	283	4( 1.41)
腹部外伤史	有	84	10(11.90)	3.418	0.093
腹部外伤史	无	276	10( 3.62)
切口感染	有	66	9(13.64)	1.057	0.692
切口感染	无	294	11( 3.74)
慢性咳嗽	有	75	9(12.00)	1.498	0.406
慢性咳嗽	无	285	11( 3.86)

参数	B	标准误	瓦尔德	显著性	Exp(B)	95%置信区间
常量	0.169	0.100	2.868	0.090	1.185	(0.974,1.441)
性别(男)	-0.591	0.280	4.339	0.008	0.551	(0.316,0.961)
年龄(≥60岁)	1.119	0.332	11.344	<0.001	3.061	(1.596,5.869)
体重指数(>23 kg/m²)	0.991	0.265	13.879	0.046	2.689	(1.612,4.547)
吸烟史(是)	0.968	0.344	7.913	0.040	2.632	(1.341,5.167)
慢性便秘(是)	0.957	0.305	9.867	0.002	2.603	(1.433,4.728)

参数	B	标准误	瓦尔德	显著性	Exp(B)	95%置信区间
常量	0.169	0.100	2.868	0.090	1.185	(0.974,1.441)
性别(男)	-0.591	0.280	4.339	0.008	0.551	(0.316,0.961)
年龄(≥60岁)	1.119	0.332	11.344	<0.001	3.061	(1.596,5.869)
体重指数(>23 kg/m²)	0.991	0.265	13.879	0.046	2.689	(1.612,4.547)
吸烟史(是)	0.968	0.344	7.913	0.040	2.632	(1.341,5.167)
慢性便秘(是)	0.957	0.305	9.867	0.002	2.603	(1.433,4.728)

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