不同TAPP术治疗巨大腹股沟疝的疗效及对应激反应术后并发症的影响

doi:10.3969/j.issn.1006-6233.2024.06.017

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Abstract Objective: To analyze the stress response and complication situation in patients with inguinal hernia treated with a transabdominal preperitoneal prosthesis (TAPP) laparoscopic surgery.Methods: The clinical data of 72 patients with inguinal hernia who underwent TAPP surgery in our hospital from October 2021 to December 2022 were analyzed. The patients were randomly divided into Group A (36 cases) and Group B (36 cases). Both groups underwent TAPP surgery, but in Group A, the residual hernia sac was sutured and fixed after dissection and transection during surgery. In contrast, the control group did not undergo this treatment. The postoperative stress response and the incidence of complications in the two groups were observed.Results: The intraoperative blood loss in Group A was significantly higher than in Group B (P<0.05). The incidence of postoperative seroma in Group A was significantly lower than in Group B (P<0.05). The postoperative N and NLR values in both groups were significantly higher than the preoperative values; LY was significantly lower than the preoperative values. The differences in preoperative and postoperative N and NLR were significantly lower in Group A than in Group B (P<0.05), and the difference in LY was significantly higher in Group A than in Group B (P<0.05).Conclusion: In patients with inguinal hernia undergoing TAPP surgery, suturing and fixing the residual hernia sac during the procedure helps reduce the incidence of postoperative seroma, alleviates the body's stress response, and aids in subsequent recovery.

Key words： Giant inguinal hernia TAPP Effectiveness Stress response Complications

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	HAN Hua
	LI Zhou
	LU Tong

Cite this article:

HAN Hua,LI Zhou,LU Tong. Effectiveness of Different TAPP Procedures for Treating Giant Inguinal Hernias and Their Impact on Stress Response and Postoperative Complications[J]. HeBei Med, 2024, 30(6): 964-969.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2024.06.017 OR http://www.hbyxzzs.cn/EN/Y2024/V30/I6/964

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