Effect of laparoscopic inguinal hernioplasty in the treatment of 47 elderly patients with inguinal hernia / 中国基层医药

ABSTRACT

Objective To investigate the clinical effect of laparoscopic inguinal hernia repair in the treatment of elderly patients with inguinal hernia. Methods The clinical data of 80 elderly patients with inguinal hernia in the Second People's Hospital of Yuyao from November 2011 to October 2014 were analyzed retrospectively and divided into two groups according to the different operative methods. The laparoscopic group(47 cases) was treated with laparoscopic inguinal hernia repair,33 cases of the traditional group were treated with traditional inguinal hernia repair. The complication rate and recurrence rate were compared between the two groups. Results The intraoperative bleeding of the laparoscopic group[(42. 27 ± 8. 77) mL] was less than that of the traditional group[(54. 24 ± 10. 61) mL],the operative time [(44. 78 ± 12. 45)min],hospitalization time[(7. 39 ± 2. 52)d] in the laparoscopic group were shorter than those in the traditional group[(55. 27 ± 20. 61)min,(10. 27 ± 3. 67)d],the differences were statistically significant(t = 5. 508, 2. 833,4. 164,all P < 0. 05). At 1 d,2 d,5 d after operation,the pain scores of the laparoscopic group were lower than those of the traditional group(all P < 0. 05). The incidence rate of complications and recurrence rate in the laparoscopic group were 4. 26％ ,2. 13％ ,respectively,which were lower than those in the traditional group(33. 33％ ,18. 18％ ) (χ2 = 12. 045,6. 258,all P < 0. 05). Conclusion For elderly patients with inguinal hernia,laparoscopic inguinal hernia repair treatment is significantly better than traditional inguinal hernia repair,the recurrence rate is lower.