Clinical Article
Effect of laparoscopic transabdominal preperitoneal hernia repair with 3D mesh on postoperative pain and recurrence
Gao Hua, Xu Xincai, Li Chunxing, Chen Bing, Zhang Wenbin, He Tiehan
Published 2020-02-18
Cite as Chin J Hernia Abdominal Wall Surg(Electronic Edition), 2020, 14(1): 51-54. DOI: 10.3877/cma.j.issn.1674-392X.2020.01.013
Abstract
ObjectiveTo explore the effect of laparoscopic transabdominal preperitoneal hernia repair (TAPP) with 3D mesh on the pain degree and postoperative recurrence of inguinal hernia.
MethodsSeventy patients with inguinal hernia who underwent surgery in the First Affiliated hospital of Xinjiang Medical University from September 2016 to December 2017 were divided into the 3D mesh group (n=35) and the ordinary mesh group (n=35) according to the different meshes used during surgery. All patients were treated with TAPP. Among them, the mesh used in the 3D group was Bard-3DMAX hernia mesh, while the mesh used in the ordinary mesh group was Covidien (Tyco) hernia mesh. The operation indexes, postoperative pain visual analog scale (VAS), complications and recurrence of the two groups were observed and compared.
ResultsThere were no significant differences in operation time, hospital stay and intraoperative bleeding between the two groups (P>0.05). The operation-related expenses and the time of getting out of bed after operation in the 3D group were less than those in the ordinary mesh group (P<0.05). There was no significant difference in the score of VAS between the two groups immediately, at 12 hours and 30 days after operation (P>0.05). The score of VAS in the 3D group was lower than that in the ordinary mesh group at 24 hours, 72 hours, 7 days and 15 days after operation (P<0.05). At 12 hours, 24 hours and 72 hours after operation, the score of VAS in the two groups were higher than those immediately after operation (P<0.05); at 7 days, 15 days and 30 days after operation, the score of VAS in the two groups were lower than those immediately after operation (P<0.05). There was no significant difference in postoperative complications and recurrence rate between the two groups (P>0.05).
ConclusionTAPP is a safe and effective surgical method. The use of 3D mesh can simplify the operation, reduce the postoperative pain of patients, and has reliable curative effect. It is worthy of clinical application.
Key words:
3D mesh; Transabdominal preperitoneal prosthesis; Hernia, inguinal; Surgical indexes; Postoperative pain
Contributor Information
Gao Hua
Department of Gastrointestinal Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China
Xu Xincai
Department of Gastrointestinal Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China
Li Chunxing
Department of Gastrointestinal Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China
Chen Bing
Department of Gastrointestinal Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China
Zhang Wenbin
Department of Gastrointestinal Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China
He Tiehan
Department of Gastrointestinal Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China
