Objective To investigate the clinical effect of transabdominal preperitioneal laparoscopic herniorrhaphy (TAPP) in treating inguinal hernia.
Methods A total of 82 patients with inguinal hernia admitted to our hospital were randomly divided into control group(n=41) and observation group(n=41). The control group implemented tension-free hernioplasty, while the observation group was given transabdominal preperitioneal laparoscopic herniorrhaphy. The situation of surgery, the incidence of postoperative complications, postoperative recovery, hospitalization expenses, postoperative pain scores, serum inflammatory factors index, postoperative recurrence rate were compared.
Results The operative time of the observation group was shorter, and the intraoperative blood loss was less than that of the control group (P < 0.05). Compared with the control group, the total incidence of postoperative complications in the observation group was lower, recovery time of postoperative exhaust, hospitalization time were shorter, and the hospitalization cost was less than those in the control group (P < 0.05). Compared with the control group, the pain scores at 8, 12, 24 and 48 h after surgery in the observation group were all lower than that of the control group (P < 0.05). The serum inflammatory factor index Creactive protein (CRP), interleukin-6 (IL-6), procalcitonin (PCT) levels in the observation group were significantly lower than those in the control group (P < 0.05). There was no significant difference in recurrence rate during 6-month follow-up period between the two groups (P>0.05).
Conclusion TAPP can effectively alleviate the surgical trauma of patients with inguinal hernia, accelerate the postoperative recovery, and reduce the economic burden of patients.
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