Hybrid technique for the treatment of irreducible inguinal hernia: A prospective randomized controlled study

Abstract

Objective To compare the application value between Hybrid technique and laparoscopic technique in irreducible inguinal hernia repair. Methods A total of 60 patients performed unilateral irreducible inguinal hernia repair in Langfang Fourth People's Hospital from January 2015 to December 2017 were included into this study. All patients were divided into two groups randomly, including Hybrid technique group (observation group, n=30) and laparoscopic technique group (control group, n=30). The operation time, pneumoperitoneum duration, blood loss, hospital stay, hospital cost, and postoperative complications were analyzed. Results In the control group, 1 patient was rejected out of the group because it was difficult to separate and reduce under laparoscopy. The rest of operations were performed successfully. No statistical difference was observed in hospital stay [(5.00±0.85) days vs (5.00±0.82) days], hospital cost [(10 901.8±830.22) yuan vs (11 116.45±813.73) yuan], postoperative fever (16.7% vs 20.7%), pain (26.7% vs 6.9%) between two groups (P>0.05). Operation time, pneumoperitoneum duration, intraoperative bleeding and incidence of seroma in the observation group were (57.00±5.81) minutes, (36.30±4.90) minutes, (21.00±3.80) ml, 1 case (3.3%), respectively, were significantly lower than those in the control group, (72.90±3.66) minutes, (65±4.43) minutes, (56.7±8.69) ml, and 7 cases (24.1%), (P<0.05). No recurrence, infection or chronic pain was observed at 1 year follow-up. Conclusion Compared with laparoscopy, Hybrid technique to treat irreducible inguinal hernia may decrease operation time, pneumoperitoneum duration, intraoperative bleeding and the incidence of seroma, and do not increase the risk of postoperative hernia recurrence and other complications and hospital cost. It is worthy to be used for clinical practice. Key words: Herniorrhaphy; Laparoscopes; Hybrid technique