Clinical effect and gastrointestinal function of laparoscopic abdominal wall hernia repairon incisional hernia patients
腹腔镜腹壁疝修补术对切口疝患者的临床疗效及胃肠功能的影响

摘要

目的 探究切口疝患者行腹腔镜腹壁疝修补术的临床价值。方法 随机将2021年8月至2022年8月我院78例切口疝患者分为实验组（39例，应用腹腔镜腹壁疝修补术治疗）、对照组（39例，应用传统开腹手术治疗）。对比两组临床疗效、术后胃肠功能状况、临床指标、并发症。结果 实验组总有效率高于对照组，P＜0.05；实验组首次肠鸣音时间、肛门排气时间、排便时间、手术时间、术中出血量、住院时间，较之于对照组，P＜0.05；实验组并发症发生率（5.13%，2/39）明显低于对照组（20.51%,8/39），P＜0.05。结论 切口疝患者采用腹腔镜腹壁疝修补术的效果确切，利于其胃肠功能快速恢复，值得推广。

Abstract

Objective To explore the clinical value of laparoscopic abdominal wall hernia repair in incisional hernia patients.
Methods 78 patients with incisional hernia in our hospital from August 2021 to August 2022 were randomly divided into the experimental group (39 cases, treated with laparoscopic abdominal wall hernia repair) and the control group (39 cases, treated with traditional open surgery). The clinical efficacy, postoperative gastrointestinal function, clinical indicators and complications were compared between the two groups.
Results the total effective rate of the experimental group was higher than that of the control group (P < 0.05); Compared with the control group, the first bowel sound time, anal exhaust time, defecation time, operation time, intraoperative bleeding volume and hospitalization time in the experimental group were p < 0.05; The incidence of complications in the experimental group (5.13%, 2 / 39) was significantly lower than that in the control group (20.51%, 8 / 39), P < 0.05.
Conclusion   laparoscopic abdominal wall hernia repair for incisional hernia patients is effective and beneficial to the rapid recovery of gastrointestinal function. It is worth popularizing.