Clinical Observation Of Laparoscopic Hernia Repair And Lichtenstein

Objective: The aim of this study was to compare the results of Lichtenstein repair and transabdominal preperitoneal(TAPP)and totally extraperitoneal(TEP)laparoscopic repair in groin hernias.Methods: Retrospective analysis was performed on the medical records of 133 patients who underwent inguinal hernia repair from May 2015 to June 2018 in the first affiliated hospital of Wannan Medical College.Patients who underwent Lichtenstein were defined as group 1(n=37);those who underwent TAPP laparoscopic repair were defined as group 2(n=52)and those who underwent TEP laparoscopic repair were defined as group 3(n=44).The demographic characteristics,average operative time,postoperative hospital stay,hospitalization costs,postoperative complications,and postoperative recurrence rate were compared between the groups.Results: One patient in group 1,7 patients in group 2,and 3 patients in group 3 had bilateral groin hernias.Four patients in group 2 and two in group 3 had recurrent hernia and a history of previous Lichtenstein.The mean operation time was 50.13±14.28 min in group 1,69.61±22.19 min in group 2,and 63.87±18.09 min in group 3.The mean hospital stay was 2.4 days in group 1,2.2 days in group 2,and 2.1 days in group 3.No major complication was encountered in early post-operative period in all groups.Discussion: Compared with Lichtenstein,TAPP and TEP have obvious advantages of mild postoperative pain and short postoperative recovery time,which are worth promoting.Lichtenstein,TAPP and TEP are safe and reliable,among which Lichtenstein surgery is simple and less expensive.TAPP and TEP have no significant difference in operation time,hospitalization cost and postoperative recovery,so it is necessary to carefully evaluate the patient’s condition and choose an appropriate operation approach.