Influence of different peritoneal incision closure methods on the operative outcomes and prognosis of patients undergoing laparoscopic inguinal hernia repair.

Influencia de diversos métodos de cierre de la incisión peritoneal en los resultados quirúrgicos y el pronóstico en pacientes sometidos a reparación laparoscópica de hernia inguinal.

• Bixiang Zheng Santai People’s Hospital, Mianyang, Sichuan Province, China. https://orcid.org/0000-0002-8546-7472
• Xiaobin Luo Santai People’s Hospital, Mianyang, Sichuan Province, China. https://orcid.org/0000-0002-1986-5819
• Changdong Wang Santai People’s Hospital, Mianyang, Sichuan Province, China. https://orcid.org/0000-0001-8944-1280
• Rendong Zheng Santai People’s Hospital, Mianyang, Sichuan Province, China. https://orcid.org/0000-0003-4912-6758
• Xiaofeng Yang Santai People’s Hospital, Mianyang, Sichuan Province, China. https://orcid.org/0000-0002-4334-2356

DOI: https://doi.org/10.54817/IC.v64n4a6

Keywords: Laparoscopic inguinal hernia repair, peritoneal rupture, bipolar coagulation

Abstract

The aim was to investigate the effect of different peritoneal tear closure methods on the operative outcomes and prognosis of patients undergoing laparoscopic inguinal hernia repair (LIHR). Ninety patients who underwent LIHR in our hospital from August 2019 to December 2020 and had peritoneal tears during the operation were selected, and the patients were divided into a control group (CG) and the observation group (OG) according to different treatment plans, with 45 cases in each group. Patients in the CG were treated with absorbable sutures to repair the peritoneal tears, while patients in the OG were treated with bipolar coagulation to close and repair the peritoneal tears. The surgical conditions, postoperative pain scores, quality of life scores, complications, and recurrence were compared between the CG and OG groups. The operation time and hospital stay in the OG were shorter than those in the OG (p<0.05). The pain scores in the OG at 24 hours after operation were lower than those in the CG (p<0.05), and the pain scores of the two groups were not significantly different at two hours and 12 hours (p>0.05). Postoperative complications were not significantly different between the groups (p>0.05). The scores of material life, physical, social, and psychological function in the OG were higher than in the CG (p<0.05). There were no recurrences in the two groups during the 1-year follow-up. Closing repair of peritoneal rupture with bipolar coagulation reduces the operation time of patients with peritoneal rupture during TEP (total extraperitoneal hernioplasty) operations, reduces pain, and improves their quality of life. The treatment outcome is safe, effective, and has an excellent clinical application effect.

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