Comparison of curative effects of tension-free herniorrhaphy for phrase I and traditional herniorrhaphy on the treatment of incarcerated hernia

Abstract

Objective To discuss curative effects of tension-free herniorrhaphy for phrase I and traditional herniorrhaphy on the treatment of incarcerated hernia.Methods 84 cases with incarcerated hernia were selected and divided into the observation group （ n=42 ） and control group （ n=42 ） by random number table, who were given tension-free herniorrhaphy for phrase I and traditional herniorrhaphy respectively.The operation time, amount of bleeding,out-of-bed activity time,analgesic rate and length of stay （ LOS） after the operation,and complication and reoccurrence rates during and after the medical treatment were observed and compared.Results The operation time, out-of-bed activity time,analgesic rate and length of stay （ LOS） after the operation of patients in the observation group[（45.7 ±10.3） min,（28.7 ±7.5） h,14.29%,（4.13 ±0.97） d] were all much shorter than those in the control group[（53.9 ±11.7）min,（41.5 ±10.3）h,35.71%,（6.07 ±1.04）d]（t or χ^2 =2.15,2.39,5.14,2.41, P〈0.05 or P〈0.01）.After comparing the amount of bleeding of patients in the two groups during the operation,no obvious statistical differences appeared （P〉0.05）.3 and 10 cases of complication appeared in the observation group and control group after the operation respectively.The occurrence rate of complication in the observation group after the operation was much lower than that in the control group （χ^2 =4.46,P〈0.05）.Following up for 6 to 67 months, no reoccurrence appeared in the observation group after the operation,while 6 cases of which appeared in the control group.And the postoperative reoccurrence rate of patients in the observation group was much lower than that in the control group （χ^2 =4.49,P〈0.05）.Conclusion Tension-free herniorrhaphy for phrase I has confirmative curative effect on incarcerated hernia,with the following advantages like short operation time and out-of-bed activity time after the operation,low postoperative analgesic rate,short LOS,little complication,low reoccurrence rate and etc,which can gradually take the place of traditional herniorrhaphy and become the first operation method to treat incarcerated hernia with no intestinal necrosis. Key words: Incarcerated Hernia; Herniorrhaphy; Tension-Free; Traditional