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《Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)》 2013-06
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Comparison of the effect of Desarda method and artificial patch in inguinal hernia

ZHANG Jian-xin;JIN Wei-dong;ZHANG Zhi-yong;CAI Xun;Department of General Surgery,Wuhan General Hospital of Guangzhou Command;  
Objective To evaluate the effect of Desarda method and artificial patch in treatment of inguinal hernia.Methods The clinical data of 150 patients who underwent conventional Desarda herniorraphy,tension free herniorraphy,or laparoscopic herniorraphy,respectively were analysed and compared.Results The operation time in Desarda herniorraphy was less than that in tension free herniorrhaphy and laparoscopic herniorrhaphy(t=13.0,9.8,P=0.000,0.015).The recovery time,length of hospital stay in Desarda herniorraphy were less than that in tension free herniorrhaphy(t=12.2,9.6,P=0.020,0.000),but no significant difference was observed compared with the laparoscopic herniorrhaphy(t=0.45,0.39,P=0.815,0.496).The postoperative complication rate was lower than that in tension free herniorraphy and laparoscopic herniorrhaphy(χ2=4.150,1.298,P=0.035,0.026).All the patients were followed up for 1 to 3 years,and no one had recurrence.After three days,the blood neutrophils,C-reactive protein(C-RP) and interleukin-8(IL-8) increased significantly in the patients applied with herniorrhaphy,which were significantly higher in the patients with tension free herniorrhaphy and laparoscopic herniorrhaphy(F=23.015,22.512,9.505,P all=0.000).Conclusions Not only the curative effect of Desarda method is superior to tension-free herniorrhaphy and laparoscopic herniorrhaphy,but also it can effectively reduce medical material costs,which is a humanized treatment method.
【CateGory Index】: R656.2
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