Comparative study of mid- and long-term results following laparoscopic totally extraperitoneal repair for inguinal hernia with different mesh fixed ways

doi:10.3877/cma.j.issn.1674-0793.2017.02.009

Abstract

Abstract:

Objective

To investigate the clinical effect of different mesh fixed ways in laparoscopic totally extraperitoneal repair for inguinal hernia.

Methods

A retrospective review of one hundred and thirty-one patients undergoing laparoscopic totally extraperitoneal repair for inguinal hernia using 3D non-stapled mesh or stapled mesh between January 2013 and August 2014 was performed. Data were compared between two groups including operation time, postoperative pain and life quality.

Results

There was no turning to open operation and postoperative recurrence in both groups, while operation time was shorter in 3D mesh group (t=3.061, P=0.002) . Compared with stapled mesh group, patients in 3D mesh group reported a lower rate of chronic pain in 6 months and 1 year postoperatively (χ²=4.943, 5.035, P=0.026, 0.025) , and a lower rate of foreign body sensation (χ²=4.185, 5.035, 5.035, P=0.041, 0.029, 0.025) , but higher scores in quality of life in 6 months, 1 year and 2 years, after primary hernia repair (t=2.633, 2.088, 2.000, P=0.009, 0.039, 0.048) .

Conclusion

Laparoscopic totally extraperitoneal repair with 3D non-staple mesh for inguinal hernia is a feasible way to shorten operation time, decrease chronic pain rate and improve quality of life.

Key words: Hernia, inguinal, Laparoscopy, Hernia repair, Chronic pain

Xueling Zhou, Xianhui Lian, Jianpei Liu. Comparative study of mid- and long-term results following laparoscopic totally extraperitoneal repair for inguinal hernia with different mesh fixed ways[J]. Chinese Archives of General Surgery(Electronic Edition), 2017, 11(02): 104-107.

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References 15

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项目	3D免固定补片组（72例）	钉合固定平片组（59例）	统计值	P值
男/女（例）	69/3	57/2	χ²=0.053	0.817
年龄（岁，±s）	52±12	56±13	t=1.828	0.069
BMI指数（kg/m²,±s)	24±3.5	23±4	t=1.525	0.129
单/双侧（例）	65/7	52/7	χ²=0.156	0.693
斜疝/直疝（例）	49/18	42/12	χ²=0.346	0.556
复合疝（例）	5	5	χ²=0.108	0.743
手术时间（min，±s）	55.3±11.4	62.2±14.4	t=3.061	0.002

项目	3D免固定补片组（72例）	钉合固定平片组（59例）	统计值	P值
男/女（例）	69/3	57/2	χ²=0.053	0.817
年龄（岁，±s）	52±12	56±13	t=1.828	0.069
BMI指数（kg/m²,±s)	24±3.5	23±4	t=1.525	0.129
单/双侧（例）	65/7	52/7	χ²=0.156	0.693
斜疝/直疝（例）	49/18	42/12	χ²=0.346	0.556
复合疝（例）	5	5	χ²=0.108	0.743
手术时间（min，±s）	55.3±11.4	62.2±14.4	t=3.061	0.002

组别	例数	术后6个月	术后1年	术后2年
3D免固定补片组	72	1（1.389）	0（0）	0（0）
钉合固定平片组	59	6（10.169）	4（6.779）	3（5.084）
χ²值		4.943	5.035	3.747
P值		0.026	0.025	0.053

组别	例数	术后6个月	术后1年	术后2年
3D免固定补片组	72	1（1.389）	0（0）	0（0）
钉合固定平片组	59	6（10.169）	4（6.779）	3（5.084）
χ²值		4.943	5.035	3.747
P值		0.026	0.025	0.053

组别	例数	术后6个月	术后1年	术后2年
3D免固定补片组	72	2（2.778）	0（0）	0（0）
钉合固定平片组	59	7（11.864）	4（6.779）	4（6.779）
χ²值		4.185	5.035	5.035
P值		0.041	0.029	0.025

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