ABSTRACT
Objective To investigate the security and validity of transabdominal preperitoneal prosthetic (TAPP) in treatment of incarcerated hernia.Methods One hundred and twenty-four patients with incarcerated hernia were divided into 2 groups by random pair method:observation group with treatment of laparoscopic reposition and TAPP (56 cases) and control group with treatment of open reduction and tension-free hernioplasty (68 cases).The operative time,hospital stay,bed time,hospital costs,recurrence rate and complication were compared between the 2 groups.Results All patients in observation group were received laparoscopic surgery successfully.The operation time,hospital stay,bed time in observation group were significandy shorter than those in control group [(37.52 ± 7.78) min vs.(44.23 ± 11.32) min,(4.53 ± 0.89) d vs.(6.85 ± 2.03) d,(9.30 ± 2.65) h vs.(12.63 ± 3.97) h],there were statistical differences (P ＜0.05).The hospital costs in observation group was significandy higher than that in control group [(9 324 ± 599) yuan vs.(7 203 ± 507) yuan],there was statistical difference (P ＜ 0.05).There was no statistical difference in complication rate between the 2 groups (P ＞ 0.05).Follow-up 1 year,there was no recurrence patient in observation group and 1 patient was recurrence in control group,there was no statistical difference between the 2 groups (P ＞ 0.05).Conclusions TAPP is safe and effective with advantages of mini-invasion,quicker recovery but more hospital costs in treatment of incarcerated hernia.The recurrence rate of TAPP is similar to tension-free hernioplasty.
ABSTRACT
ObjectiveTo analyze the short-term efficacy of mastoscopic axillary lymph node dissection for the patients with early breast cancer who undergo breast-conserving surgery.MethodsThirty patients who met the standard of breast-conserving surgery were divided into two groups by random digits table with 15 cases each.All of these patients underwent breast-conserving surgery,then study group underwent mastoscopic axillary lymph node dissection while control group underwent open technique.The short-term efficacy was observed and compared between two groups.ResultsThe operation time in study group [(88.0 ± 18.0) min] was longer than those in control group [(68.0 ± 12.5) min] with significant difference (P =0.001 ).The incidence of upper extremity edema [ 6.7％ ( 1/15 ) ] and intercostobrachial nerve injury (0) in study group was lower than those in control group[60.0％(9/15),40.0％(6/15) ] with significant difference(P =0.002,0.022).There was no significant difference in blood loss,nodes harvest,total drainage volume and residual cancer cells between two groups [ ( 18.0 ± 12.2) ml vs.(21.3 ± 9.0) ml; 14.6 ±5.0 vs.16.4 ±3.6; (87.9 ±25.1) ml vs.(86.3 ±13.8) ml;6.7％(1/15) vs.13.3％(2/15)] (P ＞0.05).ConclusionsMastoscopic axillary lymph node dissection has the similar nodes harvest with open technique.The incidence of adverse reaction is lower,and the short-term effect is better.