PDF(Pubmed)
Abstract：
This study aimed to explore the feasibility of ultra-micro instruments in the laparoscopic repair of inguinal indirect hernia. This retrospective study included 83 patients with an indirect inguinal hernia who underwent elective surgery from January 2020 to December 2021. All patients were divided into the traditional laparoscopic group and ultra-micro laparoscopic group. The data on operation time, blood loss, ventilation time, hospital stays, complication, postoperative pain degree was collected and compared between the two groups. Of these 83 patients, 25 assigned to the ultra-micro group used ultra-micro instruments while 58 were assigned to the traditional group. The traditional group had a lower mean operation time (57.07 min) than the ultra-micro group (69.60 min) p < 0.05, while ultra-micro group patients had a shorter hospital stay (2 days) than the traditional group (3 days) p < 0.05. The ultra-micro group experienced significantly less pain for 6 h, 1 day, and 2 days postoperatively (2, 1, 0 points) compared to the traditional group (4, 2, 1 points) p < 0.05. There was no significant difference in blood loss, ventilation time, or complication between the two groups. Using ultra-micro instruments is safe and feasible. Patients have less postoperative pain and a smaller incision than the traditional laparoscopic instrument. It is worthy of clinical promotion.
摘要：
本研究旨在探讨超微型器械在腹腔镜腹股沟斜疝修补术中的可行性。这项回顾性研究包括从2020年1月至2021年12月接受择期手术的83例腹股沟斜疝患者。将所有患者分为传统腹腔镜组和超微型腹腔镜组。操作时间的数据，失血,通风时间,住院,并发症,收集并比较两组患者术后疼痛程度。在这83名患者中，25人被分配到使用超微型仪器的超微型组，而58人被分配到传统组。传统组平均手术时间(57.07min)低于超微组(69.60min)p<0.05,超微组住院时间(2天)短于传统组(3天)p<0.05。超微组6h疼痛明显减轻，1天,术后2天(2、1、0分)与传统组(4、2、1分)比拟p<0.05。失血量无显著差异,通风时间,或两组之间的并发症。使用超微仪器是安全可行的。与传统腹腔镜器械相比，患者术后疼痛少，切口小。值得临床推广。
