Laparoscopic Tension-free Hernia Repair Research Articles

Analysis of clinical effect on 19 cases of inguinal hernia treated by laparoscopic totally extraperitoneal repair

Objective To investigate the effect of laparoscopic total extraperitoneal tension-free hernia repair (TEP) in the treatment of inguinal hernia with absorbable biological mesh. Methods A retrospective analysis of the clinical data of 19 patients with inguinal hernia with biological mesh was performed from September 2015 to September 2016 in Shengjing Hospital of China Medical University. The average operative time, average incision pain time, average postoperative venting time, average hospital stay, average operative cost, and long-term chronic pain, postoperative complications, and recurrence rate were observed. Results All the 19 patients were successfully operated. The average operation time was (35.0±4.0) min, the average incision pain time was (1.5±0.6) d, and the average postoperative venting time was (1.5±1.2) d. The average hospital stay was (4.5±0.9) d, the average surgery cost was (23 534.6±1 259.9) yuan. Two patients developed swelling of the scrotum after surgery, and one patient developed postoperative fat liquefaction. All patients were followed up for 1 year by telephone, with no recurrence, no serious complications, and chronic pain discomfort. Conclusions The application of absorbable biopsy TEP is a good and reliable way to treat inguinal hernia. Postoperative patients have mild pain and low complication rate. There is no recurrence in recent follow-up, and the short-term effect is satisfactory. It is a reliable method for the treatment of inguinal hernia. The cost is high, and can be selected according to age and individual needs. Key words: Hernia, inguinal; Laparoscopes; Laparoscopic totally extraperitoneal repair; Biological mesh; Tension-free repair

To explore the clinical effect of tension-free repair in the treatment of inguinal hernia in elderly patient

Objectives To explore the clinical effect of tension-free repair in the treatment of inguinal hernia in elderly patient. Methods A total of 124 elderly patients with inguinal hernia admitted in our hospital in 2016 were randomly divided into a study group(n=62)and a control group(n=62). The control group was treated with open tension-free inguinal hernia repair, whereas with laparoscopic tension-free inguinal hernia repair in the study group.The operation time, intraoperative blood loss, the postoperative pain relief-time, mean days of hospitalization, postoperative recurrence rate, and complications rates were compared between the two groups. Results The more significant improvements were found in study group versus control group in the intraoperative bleeding volume[(19.9±2.0)ml vs.(36.8±2.5)ml, t=41.564, P=0.000], in the mean hours of postoperative pain[(22.1±4.2)h vs.(35.3±7.0)h, t=12.732, P=0.000], in mean days of hospitalization[(5.5±1.0)d vs.(9.2±1.9)d, t=13.569, P=0.000], in incidence rate of postoperative recurrence(0.0% vs.6.5%, χ2=4.133, P=0.042), and in postoperative complications rate(3.2% vs.12.9%, χ2=3.916, P=0.048). Nevertheless, the operation time was longer in the study group than in the control group[(87.0±5.0)min vs.(55.5±4.2)min, t=-37.984, =0.000]. Conclusions As compared with open tension-free repair, the clinical efficacy of laparoscopic tension-free hernia repair is exactly sure in the treatment of inguinal hernia, with shorter postoperative hospitalization time and lower incidence of complications. Key words: Hernia, inguinal; Laparoscopic surgical procedures; Tension-free repair

Efficacy comparison of laparoscopic versus open tension-free hernia repair using biologic mesh for inguinal strangulated hernia

To compare the efficacy of laparoscopic versus open tension-free mesh repair using biologic mesh for inguinal strangulated hernia. Clinical data of 27 patients with inguinal strangulated hernia in the Shanxi Provincial People's Hospital between January 2012 and April 2014 were analyzed retrospectively. All the patients underwent one-stage tension-free repair using biological mesh, including laparoscopic(n=13) and open procedures(n=14). As compared with the open group, the laparoscopic group had shorter operative time [(90.8±11.6) min vs. (130.8±32.5) min, P<0.01], lower rates of hematoma/seroma and wound infection[(7.7% vs. 42.9%) and (0 vs. 28.6%) respectively, both P<0.05], faster recovery of bowel function [(2.5±0.3) d vs. (3.8±1.4) d, P<0.01], and shorter hospital stay [(6.3±1.8) d vs. (9.8±3.2) d, P<0.01]. The mean follow-up was 5.7 months (ranged from 2 to 12 months), and no recurrence or serious complications occurred. Laparoscopic tension-free hernia repair using biological mesh for inguinal strangulated hernia has significant advantage versus open operation.