Clinical effect comparison the of laparoscopic transabdominalpreperitonealhernia repair and laparoscopic totally extra-peritoneal repair in the treatment of inguinal hernia and analysis of the incidence of postoperative seroma

Abstract

Objective To explore the difference between laparoscopic transabdominalpreperitoneal hernia repair (TAPP) and laparoscopic totally extra-peritoneal repair (TEP) in the treatment of inguinal hernia and the incidence of postoperative seroma, and to analyze the causes of seroma and preventive treatment measures. Methods A retrospective analysis was conducted on 45 TAPP patients with inguinal hernia (TAPP group) and 30 TEP patients with inguinal hernia (TEP group) treated in the hospital of Shunyi District from January 2017 to June 2018. Perioperative indicators such as operation time, postoperative hospitalization time, hospitalization cost, as well as postoperative incidence of seromas in the two groups were monitored respectively. Results Compared with TEP group, TAPP group reduced the operative time [(55.50±4.25) minutes vs (65.36±6.52) minutes, P 0.05). The incidence of postoperative seroma in TAPPgroup was lower than that in the TEP group (P<0.05). Conclusion Compared with traditional open inguinal hernia repair, both TAPP and TEP have significant therapeutic effects, but TAPP has a relatively high cost of hospitalization. Compared with TEP, TAPP can reduce the incidence of postoperative seroma. We believe that reasonable patient selection and accurate intraoperative operation may be the key to reduce the incidence of postoperative seroma. Key words: Hernia, inguinal; Herniorrhaphy; Laparoscopes; Seroma; Recurrence