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| Comparative Study of TEP and Lichtenstein in the Repair of Hernia |
| SHEN Yawei, HUANG Xin, MA Xiaoan, et al |
| The Central Hospital of Xi'an, Shanxi Xi'an 710003, China |
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Abstract Objective: To compare the clinical application of TEP and Lichtenstein in hernia repair. Methods: A total of 106 patients with TEP were treated with PEP from March 2013 to February 2015, and 104 patients with inguinal hernia treated with Lichtenstein were selected as the subjects. The patients in the two groups were enrolled in this study. The operation time, postoperative pain score, intraoperative blood loss, postoperative bed time, average hospital stay, hospitalization costs and postoperative complications of two groups were retrospectively analyzed. Results: The two groups of patients with smooth operation, no serious intraoperative and postoperative complications (P<0.05). The cost of operation was significantly higher than that of Lichtenstein group (P <0.05). The operation time of TEP group was significantly lower than that of Lichtenstein group (P<0.05). The difference was not statistically significant (P> 0.05). The levels of foreign body sensation, urine retention, scrotal serema, early postoperative pain score and long-term chronic neuropathic pain were observed in the TEP group after 5 days of operation and 6 months of follow-up. Retrospective analysis of two groups of patients after 5 days and 6 months of follow-up, the TEP group in postoperative foreign body sensation, urinary retention, scrotal seroma, early postoperative pain score, postoperative long-term chronic neuropathic pain incidence were lower than group Lichtenstein (P<0.05). Conclusion: TEP has the advantages of minimally invasive surgery, rapid recovery of patients after surgery, less pain, less complications, worthy of promotion and application.
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2017, Vol. 23 
