Comparison of the effect between laparoscopic transabdominal preperitoneal prosthesis and Lichtenstein herniorrhaphy in the treatment of inguinal hernia / 新乡医学院学报

ABSTRACT

Objective To compare the clinical effect of laparoscopic transabdominal preperitoneal prosthesis (TAPP) and Lichtenstein herniorrhaphy in the treatment of inguinal hernia.Methods A total of 224 patients with inguinal hernia were selected from January 2014 to May 2016 in Huanggang Central Hospital.Among the patients,108 patients were treated with laparoscopic TAPP (TAPP group),and 116 patients were treated with Lichtenstein herniorrhaphy (Lichtenstein group).The operation time,intraoperative bleeding volume,postoperative hospitalization time,the first postoperative eating time,the first ambulation time after operation,treatment cost,the incidence of postoperative complications and the recurrence rate of inguinal hernia were compared between the two groups.Results The operation time,the first postoperative feeding time,the first ambulation time after operation,postoperative hospitalization time in the TAPP group were significantly shorter than those in the Lichtenstein group (P ＜ 0.05).The treatment cost in the TAPP group was significantly higher than that in the Lichtenstein group (P ＜ 0.05).There was no significant difference in intraoperative bleeding volume between the two groups (P ＞ 0.05).The incidence of complications in TAPP group and Lichtenstein group was 2.78 ％ (3/108) and 4.31％ (5/116) respectively,there was no significant difference in the incidence of complications between the two groups (x2 =0.381,P ＞ 0.05).There was no recurrence of inguinal hernia in the two groups.Conclusion Compared with Lichtenstein herniorrhaphy,laparoscopic TAPP for inguinal hernia has less trauma,shorter operation time,quicker recovery and higher treatment cost.