关键词: 腹腔镜腹股沟疝修补术, 开放性疝无张力修补术, 临床对比

Abstract: 【Abstract】〓Objective〓To compare the efficacy between laparoscopic inguinal hernia repair and open inguinal hernia repair. Methods〓From May 2012 to May 2013, 240 cases of adult inguinal hernia repair were retrospectively analyzed. Of 240 cases,148 cases underwent open herniorrhaphy (open group), 92 underwent laparoscopic herniorrhaphy (laparoscope group). The clinical parameters of two groups were recorded and analyzed,including operation time,.length of hospital stay, hospital expenses,.postoperative recurrence,.postoperative chronic pain,.postoperative scrotal hydrops and postoperative infection. Results〓The average operation time and hospitalization expenses for open group was 62.9±9.8 min and 8420±2481 yuan,.lower than that laparoscopic group (76.2±9.4 min and 12468±33858 yuan,P<0.01). However, postoperative complications in open group were including recurrence (3 cases), chronic postoperative pain(11 cases), postoperative scrotal hydrops (2 cases), postoperative infection (1 case) were higher than that in laparoscopic group (P<0.05). No difference was found in hospital stay between two groups. Conclusion〓Laparoscopic hernia repair has less postoperative complications,.shorter hospitalization time,.but has more hospital expenses.

Key words: Laparoscopic inguinal hernia repair, Open hernia repair, Clinical comparison