Analysis of clinical effect of laparoscopic total extraperitoneal inguinal hernia repair versus lichtenstein hernioplasty on patients with recurrent inguinal hernia

Abstract

Objective To analyze the effect of laparoscopic total extraperitoneal inguinal hernia repair (TEP) and Lichtenstein hernioplasty on recurrent inguinal hernia. Methods A retrospective analysis was conducted on 92 patients with recurrent inguinal hernia who were treated in Beijing Shijitan hospital from May 2012 to May 2017, including 42 patients with TEP as observation group and 50 patients with Lichtenstein surgery as control group. Intraoperative and postoperative complications were observed. Serum type I procollagen carboxy terminal peptide (PICP), matrix metalloproteinase inhibitor-1 (TIMP-1), matrix metalloproteinase-2 (MMP-2), matrix Metalloproteinase inhibitor-2 (TIMP-2) and type III procollagen carboxy terminal peptide (PIIINP) content before and after treatment were detected by ELISA. Results The intraoperative blood loss of the observation group was lower than that of the control group, and the difference was statistically significant (P 0.05). The levels of serum PICP, TIMP-1, TIMP-2 and PICP/PIIINP in the observation group were higher than those before and after treatment. The MMP-2 content was lower than that before treatment and control group, and the difference was statistically significant (P<0.05). The incidence of postoperative complications was 9.52% in the observation group and 36.00% in the control group. The difference was statistically significant (P<0.05). Conclusion Amount of bleeding in TEP patients with recurrent inguinal hernia is less than that in Lichtenstein. The postoperative complications are less, and the serum collagen, matrix metal inhibitory enzyme and protease content can be improved. Key words: Hernia, inguinal; Recurrence; Herniorrhaphy; Laparoscopes; Lichtenstein