Abstrato

Short-term effect of laparoscopic assisted total extraperitoneal repair with small-incision for large inguinal hernia in adults

Yu-huan Wang, Jiong Fu, Qing-feng Chen, Dong-xu Wang, Wei Jiang, Zheng Chen

Objective: To investigate the short-term efficacy of laparoscopic assisted Total Extraperitoneal Repair (TEP) with small incision for large inguinal hernia in adults, so as to guide the treatment of patients.

Methods: A total of 32 adults with large inguinal hernia treated with laparoscopic assisted TEP from September 2015 to March 2017 were enrolled as the observation group, and from January 2013 to June 2015, 34 cases with large inguinal hernia treated with TEP were enrolled as the control group. The efficacy of operation and recovery, White Blood Count (WBC), C Reactive Protein (CRP) and Visual Analogue Score (VAS), the recurrence rate within 6 months and quality of life between two groups were compared.

Results: Compared with the control group, the operation time in observation group was longer, intraoperative bleeding volume was less, postoperative ambulation time and hospital stays were shorter, the WBC, CRP and VAS at 3 d after operation were less, the differences were statistically significant (P<0.05). There was no significant difference between two groups in the incidence of complications and recurrence rate within 6 months after operation (P>0.05). Within 6 months after surgery, quality of life in two groups improved significantly (P<0.05), but short- term health survey of 36-items (SF-36) scores were close in two groups before and after surgery (P>0.05).

Conclusion: Laparoscopic assisted TEP with small incision is effective in treatment of large inguinal hernia in adult patients. Compared with the traditional TEP, intraoperative bleeding volume in laparoscopic assisted TEP with small incision is less, postoperative recovery is faster, pain and physiological stress are less.