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| Comparative Study of TAPP and Traditional Inguinal Hernia Tension-free Repair on Stress and Pain in Adult Inguinal Hernia |
| WANG Wei, ZHAO Yu-bin |
| Department of General Surgery,Yulin Xingyuan Hospital,Yulin Shaanxi,719000 |
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Abstract 【Objective】 To compare the effects of laparoscopic transabdominal preperitoneal prosthesis (TAPP) and traditional inguinal hernia tension-free repair on stress and pain in adult inguinal hernia. 【Methods】 Seventy-four adult patients with inguinal hernia admitted to Our hospital from January 2016 to January 2020 were selected and divided into a control group (January 2016 to January 2018, 37 cases) and TAPP group(From February 2018 to January 2020, 37 cases) according to the operation time . The control group received traditional tension-free inguinal hernia repair, and the TAPP group received TAPP. The operation indexes, complications, pain scores (VAS scores), stress indexes and inflammation indexes were compared between the two groups. 【Results】 The operation time, postoperative bed time, postoperative hospital stay, and gastrointestinal function recovery time of the TAPP group were shorter than those of the control group (all P<0.05), and the intraoperative blood loss was lower than that of the control group (P<0.05), but the cost was higher than the control group (P<0.05). The flap infection or necrosis rate (0.00%) and total complication rate (10.81%) in the TAPP group were lower than those in the control group (0.00%, 35.14%, all P<0.05). The VAS scores of the TAPP group at 6h, 24h and 3 days after operation were lower than those of the control group (all P<0.05). One day after treatment, the MDA, CRP, and PCT in both groups were higher than before treatment (all P<0.05), and SOD was lower than before treatment (all P<0.05). The MDA, CRP, and PCT in the TAPP group were lower than those in the control group (all P<0.05), SOD was higher than the control group (P<0.05). 【Conclusion】 Compared with the traditional tension-free inguinal hernia repair, TAPP has higher safety and quicker postoperative recovery, and has less impact on stress and inflammation.
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Received: 24 November 2020
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2021, Vol. 38 
