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Retrospective study of different surgical procedures for inguinal hernia repair of military inpatients |
NIE Yong, WANG Xiaojin, CHANG Haosheng, HUANG Jianfeng, QIAN Linfeng |
Department of Surgery,Hospital of Beijing Municipal Corps, Chinese Peopie’s Armed Police Force, Beijing 100027, China |
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Abstract Objective To compare the advantages and disadvantages of transabdominal preperitoneal (TAPP), totally extraperitoneal (TEP) and conventional inguinal herniorrhaphy, and to explore the selection of surgica Methods for military inpatients.Methods The clinical data of cases of inguinal hernia treated in our hospital from January 2012 to January 2018 was analyzed retrospectively, and the operative effect, complications and postoperative recovery were summarized.Results Operations on 128 cases were successful. The duration of surgery in TAPP group was significantly longer than that in conventional operation group and TEP group (P<0.05). The postoperative length of hospital stay in the conventional operation group was longer than that in TAPP group and TEP group (P<0.05). The VAS score of conventional operation group was significantly higher than that of TAPP group and TEP group on the second day (P<0.05). One month after operation, the number of cases with an IPQ score of 0 and involved in daily training, fixed duty and 3-kilometer cross-country running in the conventional operation group was significantly smaller than that in TAPP group and TEP group(P<0.05). At 3 months after operation, the number of cross-country runners in the conventional operation group was significantly smaller than that in TAPP group and TEP group (P<0.05).Conclusions Laparoscopic inguinal hernia repair has the advantages of minimal invasion, mild pain, quick recovery and fewer complications. Military inpatients can resume their daily training and duty earlier. TEP operations are worth popularizing in military hospitals.
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Received: 10 July 2018
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