Abstract
Objective To compare the clinical efficacy of tension-free hernia repair with Bard mesh plug and patch with that of traditional hernia repair for external abdominal hernias in elderly hernia.Methods 120 elderly patients with external abdominal hernia who had been hospitalized from January 2008 to January 2010 were randomly divided into a control group (60 patients) and a study group (60 patients).The control group received traditional hernia repair; while the study group received tension-free hernia repair.Surgical duration,time to ambulation,degree of wound pain,local discomforts,complications,and recurrence were compared.Results The study group was superior to the contro group in the efficacy.The patients who underwent tension-free hernia repair had fewer complications and had no recurrence in a 2-year follow-up.Conclusions The patients undergoing tension-free hernia repair have shorter surgical duration,less medical cost,less postoperative pain,faster recovery,fewer complications,and no recurrence.This procedure is worth popularizing clinically. Key words: Hernia; Elderly; Tension-free hernia repair; Traditional hernia repair; Efficacy comparison
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