Abstract

Objective To explore clinical influence of laparoscopic minimally invasive surgery on cognitive dysfunction after general anesthesia in elderly patients with incarcerated inguinal hernia. Methods The clinical data of 44 elderly patients with incarcerated inguinal hernia treated in Neijiang Second People's Hospital from March 2015 to June 2018 were retrospectively analyzed, they were divided into the experiment group (n=24) and the control group (n=20) according to the different surgical methods. The control group was treated with open tension-free hernia repair, the experiment group was treated with laparoscopic trans-abdominal preperitoneal hernia repair (TAPP). The surgery related index, situation of anxiety/depression and cognitive function before and after the operation in two groups were compared, and the complications of the 2 groups were recorded. Results Compared with the control group, the exhaust time, eating time and spontaneous bed-out activity time significantly advanced in the experiment group (P<0.05). Compared with period before operation, the scores of SAS and SDS significantly decreased in two groups during two weeks after operation, and the scores of experiment group was significantly lower than of the control group (P<0.05). Compared with period before operation, the scores of immediate memory, recall, orientation, attention and language ability significantly decreased in the two groups during 2 days after operation, and the scores of experiment group was significantly higher than of the control group (P<0.05). The incidence of total complications in the experiment group was significantly lower than that in the control group (P<0.05). Conclusion TAPP combined with perioperative care can more effectively alleviate the bad psychological emotions of elderly patients with incarcerated inguinal hernia. It has less impact on postoperative cognitive function and less complications, which is conducive to postoperative recovery, it is worthy of use in clinic. Key words: Laparoscopic minimally invasive surgery; Incarcerated inguinal hernia; Elderly; Cognitive dysfunction

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