关键词: 腹膜前疝修补术, 手术费用, 腹股沟疝

Abstract: ［Abstract］ Objective To analyze the effect and provide experience of different patches in TAPP operation. Methods From March 2015 to March 2017， 180 patients with inguinal hernia were selected as study objects and divided into control group and observation group， 90 cases each. The control group was treated with classical TAPP procedure with 3D patch， nail gun fixation and intermittent suture of peritoneum， while the observation group was treated with modified TAPP with domestic flat patch， glue fixation and continuous suture of peritoneum. The success rate of surgery and the recurrence rate within one year were compared between the two groups of patients. The intraoperative indexes were compared： operation time， intraoperative blood loss， ambulation time， hospitalization time， and hospitalization fee. VAS was used to evaluate postoperative pain. Observe and record the complications. Results There was no significant difference between the two groups in the success rate of surgery and the recurrence rate of the two groups within one year （P>0.05）. There was no significant difference in blood loss between the two groups （P>0.05）. There was no significant difference in VAS score， time of ambulation and hospital stay between the two groups （P>0.05）. The operation time of the observation group was significantly shorter than that of the control group （P<0.05）. The cost of hospitalization was significantly lower than that of the control group （P<0.05）|There was no significant difference in the total incidence of complications between the two groups （P>0.05）. Conclusion The modified TAPP procedure has similar clinical effects as the traditional TAPP procedure， but the operation time is shorter and the operation is easier， which promotes the patient′s postoperative recovery. At the same time， the modified TAPP procedure has lower surgical cost.

Key words: transabdominal preperitoneal, treatment costs, inguinal hernia