Comparative analysis of the efficacy of laparoscopic total extraperitoneal hernia repair and transabdominal preperitoneal hernia repair in the treatment of inguinal hernia

Abstract

Objective To compare and analyze the clinical effects of laparoscopic total extraperitoneal hernia repair (TEP) and transabdominal preperitoneal hernia repair (TAPP) in the treatment of inguinal hernia. Methods 94 patients with inguinal hernia treated in Panzhihua City Hospital of Integrated Traditional Chinese and Western Medicine from May 2016 to January 2018 were selected, and divided into the experiment group and the control group according to the different operation method, with 47 cases in each group. The experiment group underwent TEP operation, and the control group underwent TAPP operation. The clinical relevant indicators and postoperative pain of the two groups were compared, and the postoperative complications occurrence rate and recurrence rate of the two groups were counted. Results The operation time in the experiment group (52.38±9.76) minutes were significantly shorter than that in the control group (67.41±10.36) minutes; the amount of occult hernia on the contralateral side in the experiment group was significantly less than that of the control group (1/47 vs 14/47, P 0.05). The VAS scores of the two groups showed a downward trend from before operation to 2 weeks after operation (P 0.05). There was no statistical difference between the two groups in the complications occurrence rate and recurrence rate (11.11% vs 13.33%; 0 vs 2.13%, P>0.05). Conclusion Both of the two types of operation have advantages and disadvantages. In clinical practice, it is necessary to select the appropriate one according to the specific situation of the patients to ensure the effect of operation. Key words: Hernia, inguinal; Herniorrhaphy; Laparoscopes