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| Application of Annular Incision and Disconnection of Hernia Sac Neck in Laparoscopic Transperitoneal Hernioplasty |
| XU Hua, PENG Wei |
| Guangdong People’s Hospital (Jinwan Central Hospital, Zhuhai), Zhuhai, Guangdong 519041 |
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Abstract 【Objective】To analyze the value of laparoscopic transperitoneal herniorrhaphy (LHR) with annular incision and disconnection of the neck of hernia sac. 【Methods】One hundred cases of inguinal hernia treated with LHR in our hospital from January 2017 to March 2019 were selected as the study subjects. The patients were randomly divided into the control group and the observation group with 50 cases in each group. The patients in the control group were treated with transperitoneal hernioplasty (TAPP) and the patients in the observation group were treated with " annular incision and disconnection of hernia sac neck ". The perioperative condition, pain score, complications and recurrence were compared between the two groups. 【Results】The operation time of the observation group was significantly shorter than that of the control group (P<0.05), the amount of bleeding during the operation was significantly less than that of the control group (P<0.05), and the damage of spermatic cord vessels and vas deferens was significantly less than that of the control group (P<0.05). There was no significant difference in nerve injury, time of getting out of bed and hospital stay between the two groups (P > 0.05). The VAS pain scores of the observation group at 6, 12 and 24 hours after operation were significantly lower than those of the control group (P<0.05). There was no significant difference in subcutaneous hematoma, foreign body sensation, recurrence rate and chronic pain between the two groups (P>0.05). The incidence of scrotal effusion in the observation group was significantly lower than that in the control group (P<0.05). 【Conclusion】"Annular incision and disconnection of hernia sac neck" can shorten the operation time, reduce the amount of bleeding during operation, reduce the injury of spermatic cord and vas deferens, and relieve the pain of patients after operation. Compared to conventional TAPP, the operation is simpler and thus it is particularly suitable for grass-roots hospitals.
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Received: 09 April 2019
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2019, Vol. 36 
