Clinical Applied Study of Tension-free Hernia Repair Techniques for Inguinal Hernia

Ke Gong, MD, Zhanzhi Zhang, MD, Dexiao Du, MD, Xingbiao Wang, MD, Yankai Zhang, MD. Beijing Shijitan Hospital affiliated to Capital Medical University

 

Objective The aim of this study was to improve the application of tension-free inguinal hernia repair .
Methods We retrospectively reviewed 226 patients diagnosed with inguinal hernia who undertook laparoscopic tension-free inguinal hernia repair (LTIHR group)or open tension-free hernia repair ( Open group) in general surgical department of Beijing Shijitan Hospital during April 2008 to April 2010 and collected the clinical data. The clinical data in two groups were compared.
Results A total of 226 patients with inguinal hernia underwent tension-free inguinal hernia repair successfully. The patients were followed up for a mean time of (24±6) months. No major complications and recurrence was found in all patients. The average operating time for the patients in the open group was significantly shorter compared to the LTIHR group (t=7.114,P=0.000) and the cost involved in the open group was also significantly lower than the LIHR group (t=10.67,P=0.000). However, the hospital stay was significantly longer in the open group (t=3.76,P=0.000) compared to the LIHR group. Among 226 patients, 16 patients with abnormal blood coagulation mechanism were successfully underwent open tension-free hernia repair under local anesthesia, 6 patients with chronic pulmonary diseases who are intolerance of general anesthesia were also undertook TEP under spinal canal anesthesia.
Conclusion This study demonstrated the application of tension-free inguinal hernia repair will be accepted widely by choosing a suitable anesthesia and a surgical procedure as well as decreasing the cost.

 


Session Number: Poster – Poster Presentations
Program Number: P268
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