Comparison Of The Clinical Effects Of Laparoscopic And Open Surgery In Elderly Patients With Inguinal Hernia (? 65 Years Old)

Objective: The results of LAPAROSCOPIC inguinal hernia repair and open inguinal Hernia repair in elderly patients(?65 years old)were retrospectively analyzed and compared,to further clarify the difference between open repair and LAPAROSCOPIC INGUINAL Hernia repair.Methods: A total of 80 patients(?65 years old)who underwent inguinal hernia surgery at the Department of Gastrointestinal Surgery,Affiliated Hospital of Jining Medical College from May 2018 to May 2019 were selected as the study sample.The study samples were divided into two groups according to the operation method.The open tension-free repair group was used as the control group,and the laparoscopic inguinal hernia tension-free repair group was used as the experimental group,with 40 cases in each group.Detailed comparison records of the operation time,intraoperative blood loss,whether there was a contralateral occult inguinal hernia,the time for the patient to get out of bed for the first time,the length of hospitalization,and postoperative recurrence Research and analysis.Results: The operation time of the experimental group was 58.5 ± 20.64min;the operation time of the control group was 63.65 ± 25.89 min,p> 0.05,the difference was not obvious.The intraoperative exploration of the experimental group revealed 3 patients with occult hernia in the contralateral inguinal area.The hospital stay in the experimental group was 1.45 ± 0.60 days;the hospital stay in the control group was 2.60 ± 0.96 days,p <0.05,the difference was significant.The time for the first time to get out of bed in the experimental group was 6.75 ± 0.81h;the control group was 8.35 ± 1.31 h,p <0.05,the difference was significant.The intraoperative blood loss in the experimental group was 4.88 ± 3.06ml;the control group was 6.55 ± 3.71 ml,p <0.05,the difference was significant.The hospitalization cost of the experimental group was 10500 ± 1130 yuan;the hospitalization cost of the control group was 8800 ± 950 yuan,with a significant difference at p <0.05.Two patients in the experimental group developed postoperative scrotal edema,3 patients developed urinary retention,and the postoperative complication rate was 8%;3 patients in the control group developed scrotal edema,1 patient developed urinary retention,and 1 The patient developed chronic pain,with a complication rate of 8%.There was no significant difference between the two.Conclusion: Laparoscopic surgery and open surgery have advantages for the treatment of elderly patients with inguinal hernia.The laparoscopic surgery group was superior to the open surgery group in terms of intraoperative blood loss,time to get out of bed,and postoperative hospital stay,and it was also possible to investigate whether there was occult hernia in the contralateral inguinal area during operation Together with the repair,the patient can avoid the second operation,relieve the patient's physical and mental pain,and save the patient's treatment costs.However,the cost of hospitalization for patients in the laparoscopic surgery group was higher than that in the control group.Open surgery can be performed under epidural anesthesia or local anesthesia.This method is more advantageous for patients who cannot tolerate general anesthesia after evaluation.In short,the two surgical methods have their own advantages.For elderly patients with inguinal hernia,the most suitable surgical method should be selected based on the patient's physical assessment,economic situation,and their own wishes.