腹股沟疝腹腔镜下修补术与无张力修补术应用于老年患者的 综合疗效研究

杨栋; 吴晓明; 刘丰; 郭世伟
June 2016
Progress in Modern Biomedicine;Jun2016, Vol. 16 Issue 18, p3492
Academic Journal
Objective: Inguinal hernia is one of the most common diseases in surgery. Surgical treatment is the only reliable method for inguinal hernia. Laparoscopic repair of inguinal hernia, especially laparoscopic totally extraperitoneal(TEP) hernia repair, has become the gold standard for the treatment of inguinal hernia. However, the risk of general anesthesia is raised for the cardiovascular disease patients over 65 years old, whether TEP is better than tension free(TF) hernia repair has not been reported. Methods: 92 inguinal hernia patients over 65 years old were randomly separated into two groups, TEP group and tension Free group. Respectively, two kinds of index were used to The analysis the clinical effect: 1, perioperative period index(operation time, amount of bleeding, surgical complications, pain level, ambulation time and hospitalization time and total hospitalization expenses); 2, the long-term follow-up index(within 2 years after surgery in chronic pain and recurrence). Results: Both TEP group and Tension Free group showed their own advantages. TEP group reduced 20 ml bleeding volume and 1 AVS score in first 24 hours than Tension Free group(P<0.01). Tension Free group reduced average 2000 RMB hospitalization expenses than TEP group(P<0.01). The other index, including AVS score in 96 hours,postoperative complications, length of stay, chronic pain index and long-term efficacy showed no significant difference. Conclusion: For elderly inguinal hernia patients, especially the patients undergoing severe underlying disease or caring the medical cost, tension-free inguinal hernia repair method is the best choice.


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