Keywords
Open tension-free hernia repair
Inguinal hernia
Submitted : 2024-02-19
Accepted : 2024-03-05
Published : 2024-03-20
Abstract
Objective: To investigate and analyze the clinical outcomes of inguinal hernia patients treated with transabdominal pre-peritoneal repair (TAPP) versus open tension-free hernia repair. Methods: The study was carried out from January 2021 to August 2023, and a total of 50 inguinal hernia patients were selected for this study. The patients were randomly divided into a study group (n = 25) and a control group (n = 25) by the numerical table method. The patients in the control group were treated with open tension-free hernia repair, whereas the patients in the study group were treated with TAPP. The surgical and postoperative recovery indexes, complication rates, and recurrence rates of the two groups were compared. Results: There was no significant difference in the operative time and intraoperative blood loss between the two groups (P > 0.05), and the postoperative feeding time, time out of bed, and hospitalization time of the study group were shorter than those of the control group (P < 0.05); the incidence rate of postoperative complications in the study group was lower than that in the control group (P < 0.05); and there was no significant difference in the recurrence rate of the two groups after operation (P > 0.05). Conclusion: Compared to open tension-free hernia repair, TAPP offers a shorter postoperative recovery duration and hospitalization time, and reduces the incidence of complications. Therefore, this surgical method should be popularized in the treatment of inguinal hernia.
References
Wang B, Xu X, 2023, Comparative Analysis of the Efficacy of Laparoscopic Transperitoneal Anterior Approach and Open Tension-Free Hernia Repair for Inguinal Hernia. China Medical Device Information, 29(7): 113–115.
Ji D, Zhao M, Fan H, et al., 2016, Controlled Study on the Efficacy of Laparoscopic Transperitoneal Anterior Approach and Open Tension-Free Hernia Repair for Inguinal Hernia. China Medical Device Information, 22(6): 51–52.
Mao D, 2018, Clinical Effect Analysis of Laparoscopic Transperitoneal Preperitoneal Hernia Repair in Adults with Inguinal Hernia Compared with Open Method Anterior Approach Preperitoneal Hernia Repair. Psychiatrist, 24(22): 116–117.
Zhu X, Mei Y, Wang X, et al., 2014, Efficacy Analysis of Transperitoneal Laparoscopic and Open Extraperitoneal Gap Tension-Free Hernia Repair for Adult Inguinal Hernia. Journal of Nanjing Medical University (Natural Science Edition), 34(10): 1412–1415.
Ju L, Wei S, Shang H, 2019, Clinical Controlled Study of Laparoscopic Transperitoneal Preperitoneal Hernia Repair and Lichtenstein Tension-Free Hernia Repair for Inguinal Hernia. Journal of Clinical Military Medicine, 47(7): 693–694.
Qiu K, Zhang L, Guo J, et al., 2022, Clinical Comparative Study of TAPP Procedure and Lichtenstein Procedure for Inguinal Hernia. World Composite Medicine, 8(5): 114–117.
Zhang Q, Li M, He T, 2023, Comparison of the Effects of Laparoscopic Transabdominal Preperitoneal Hernia Repair and Open Tension-Free Hernia Repair in the Treatment of Elderly Patients with Inguinal Hernia. Clinical Medical Engineering, 30(7): 893–894.
Liu J, Zhang Y, Chen J, 2022, Comparative Study on Clinical Efficacy of Laparoscopic Transperitoneal Anterior Hernia Repair and Open Tension-Free Hernia Repair For Inguinal Hernia. Primary Medical Forum, 26(28): 42–44 + 114.
Ji F, 2022, Clinical Effect of Laparoscopic Transabdominal Preperitoneal Hernia Repair And Traditional Open Tension-Free Hernia Repair In Treating Elderly Patients With Incarcerated Inguinal Hernia. Medical Equipment, 35(20): 79–81.
Wang G, Feng M, 2021, Analyzing the Clinical Efficacy of Laparoscopic Complete Extraperitoneal Inguinal Hernia Repair, Transabdominal Preperitoneal Repair and Open Tension-Free Hernia Repair Under Local Anesthesia in the Treatment of Adult Inguinal Hernia. World Digest of Recent Medical Information (Continuous Electronic Journal), 21(16): 141–142.
Li R, Wen S, Tu J, 2020, Clinical Effects of Laparoscopic Transperitoneal Preperitoneal Hernia Repair and Open Tension-Free Hernia Repair in the Treatment of Patients with Inguinal Hernia. Medical Equipment, 33(17): 80–81.
Wang L, 2019, Comparative Study of Laparoscopic Transperitoneal Preperitoneal Hernia Repair and Open Tension-Free Hernia Repair for Adult Inguinal Hernia. Friends of Health, 2019(5): 113.
Ji J, 2018, Comparison of Clinical Effects of Laparoscopic Transabdominal Preperitoneal Hernia Repair and Open Tension-Free Hernia Repair for Inguinal Hernia. World Digest of Recent Medical Information (Continuous Electronic Journal), 18(95): 76–77.
Zhou M, 2022, Clinical Analysis of Laparoscopic Transabdominal Preperitoneal Hernia Repair and OpenTensionFree Inguinal Hernia Repair. World Composite Medicine, 8(3): 121–124.
Wei X, 2022, Clinical Comparison of Laparoscopic Transabdominal Preperitoneal Hernia Repair and Open Tension-Free Hernia Repair for Inguinal Hernia in Adults. Electronic Journal of Clinical General Surgery, 10(4): 83–86 +113.