| Objective To explore the effect of laparoscopic transperitoneal hernia repair (TAPP) combined with 3D-MAX patch in the treatment of elderly inguinal hernia. Methods A retrospective analysis was made on 125 male elderly patients with inguinal hernia admitted to Huizhou Sixth People's Hospital from May 2018 to May 2019. They were all treated with TAPP under laparoscope, and were divided into observation group (n=63) and control group (n=62) according to different hernia patches, then the observation group was treated with 3D-MAX patch, and the control group was treated with ordinary patch. The differences in the intraoperative and postoperative recovery, postoperative pain, postoperative foreign body sensation, postoperative complications and treatment-related costs between the two groups were compared. Results The operation time of the observation group was (50.52±4.73) min, the postoperative time to get out of bed (21.56±5.84) h, the hospitalization time (5.96±0.74) d were shorter than those in the control group, and the difference was statistically significant (P<0.05); the VAS scores in the two groups at different time points had inter-group, time and interaction effects (P<0.05), and showed a gradual downward trend with the passage of time; there was significant difference in VAS score before and at different time points after operation (P<0.05). Generalized estimation equation analysis showed that there was no significant difference in postoperative foreign body sensation between groups (χ2=3.011, P=0.083), and the time difference was statistically significant (χ2=20.638, P<0.001). The total cost of consumables and hospitalization in the observation group was lower than that in the control group (P<0.05).Conclusions Laparoscopic TAPP combined with 3D-MAX patch in the treatment of elderly inguinal hernia can reduce postoperative pain and postoperative foreign body sensation,and there are fewer postoperative complications. |
