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| Analysis of the Short- and Long-Term Efficacy of Laparoscopic Transabdominal Preperitoneal Hernia Repair in Adults with Recurrent Inguinal Hernia |
| WANG Xiangdong, FU xiao, LIU Song |
| The Affiliated Hospital of Anhui University of Science and Technology / General Hospital of Huainan Oriental Hospital Group, Anhui Huainan 232007, China |
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Abstract Objective: To analyze the short-term and long-term curative efficacy of transabdominal preperitoneal (TAPP) for recurrent inguinal hernia in adults. Methods: This study is a retrospective clinical study, and ninety-eight adult patients with recurrent inguinal hernia treated in our hospital from January 2019 to January 2020 were enrolled in the research and divided into study group (TAPP, n = 60) and control group (open tension-free hernia repair, n = 38) according to the operation method. The perioperative data, hospitalization length, hospitalization expense and postoperative recurrence of the two groups were compared. Results: All patients successfully completed the operation. The amount of intraoperative bleeding, postoperative eating time, postoperative first exhaust time, first time out of bed and hospital stay in the observation group were significantly lower than those in the control group, and the hospitalization cost was significantly higher than that in the control group (P<0.05). There was one case of recurrence in the observation group and the control group respectively. There was no significant difference in the incidence of postoperative complications and recurrence between the two groups (P>0.05). Conclusion: Compared with traditional open tension-free hernioplasty, TAPP has a better short-term effect on recurrent inguinal hernia in adults, with less operative trauma, faster postoperative recovery. Their surgical safety and long-term efficacy is equivalent, and the postoperative recurrence rates were both lower.
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2022, Vol. 28 
