生物补片与合成补片在腹腔镜腹股沟疝修补术中的应用价值

Clinical application value of the biological patch and synthetic patch in laparoscopic inguinal hernia repair

摘要:

目的 探讨生物补片应用于腹股沟疝微创手术的有效性和安全性。方法 回顾性分析2019年7月－2021年7月该院收治的100例腹股沟疝患者的临床资料。根据实际接受的补片类型，将患者分为生物补片修补组（试验组，50例）和聚丙烯补片修补组（对照组，50例），均行腹腔镜经腹腹膜前修补术（TAPP）。比较两组患者手术时间、术中出血量、术后住院时间、疝复发率、切口感染率、补片感染率和并发症发生率。结果 两组患者术后3年内均未复发。两组患者术后均未出现切口感染和补片感染。两组患者手术时间、术中出血量、术后住院时间、血清肿发生率和慢性疼痛发生率比较，差异均无统计学意义（P > 0.05）。对照组术后异物感发生率明显高于试验组，差异有统计学意义（P < 0.05）。结论 生物补片应用于TAPP是安全、有效的，可降低术后异物感发生率，可作为腹腔镜腹股沟疝修补的新选择。

Abstract:

Objective To investigate the effectiveness and safety of biological patch in minimally invasive inguinal hernia surgery.Methods From July 2019 to July 2021, 100 inguinal hernia patients were divided into two groups based on the actual type of patch received. Biological patch was used in the experimental group (50 cases), and polypropylene patch was used in the control group (50 cases). The operation method was laparoscopic transabdominal preperitoneal (TAPP) hernia repair. Operating time, bleeding volume during operation, hospital stay after operation, hernia recurrence rate, incision infection rate, patch infection rate, and complication rate were compared between the two groups.Results Two groups of patients had no recurrence of hernia within 3 years after surgery, and didn't experience incision infection or patch infection after surgery. There were no significant differences in operating time, bleeding volume during operation, hospital stay after operation, seroma rate and chronic pain rate between the two groups (P > 0.05). The incidence rate of foreign body sensation in the control group was higher than that in the experimental group, with statistical difference (P < 0.05).Conclusion In conclusion, biological patch is safe and effective in laparoscopic TAPP hernia repair, and can reduce the incidence of postoperative foreign body sensation, providing a new option for laparoscopic inguinal hernia repair.