Clinical analysis of laparoscopic hernia repair with hernia sac dissection or transection in male patients with Gilbert III inguinal hernia

Abstract

Objective To investigate the clinical efficacy between hernia sac dissection and sac transection in laparoscopic trans-abdominal preperitioneal herniorrhaphy (TAPP) in treatment of unilateral Gilbert III inguinal hernia in adult males. Methods The clinical data of 60 cases of male inguinal hernia (Gilbert Ⅲ) treated in Xuzhou Traditional Chinese Medicine Hospital were retrospectively analyzed. All patients were treated with TAPP, and they were divided into the sac transection group (n=26) and sac dissection group (n=34). The operation time, intraoperative bleeding, scores of visual analogue scale (VAS), incidence of complications, length of hospital stay and postoperative recurrent rate were observed and compared between the two groups. Results The operation time and the amount of bleeding during operation were significantly higher in the sac dissection group than those in the sac transection group (t=5.020, 6.832, both P 0.05). Conclusion Both methods can achieve satisfactory clinical outcome, but the transection method has the advantages of short operative time, low scores of VAS, less bleeding and complications. Key words: Indirect inguinal hernia; Herniorrhaphy; Laparoscopes; Hernial sac