Objective:To compare the efficacy of laparoscopic trans-abdominal preperitoneal prosthetic repair(TAPP) and Li-chtenstein inguinal herniorrhaphy for adult recurrent inguinal hernia and the influence on postoperative pain SF-MPQ score. Methods:99 casesof adultswith recurrent inguinal hernia from January 2014 to January 2017 in our hospital were enrolled, who were randomly divided into two groups:59 patients in the observation grouptreated with laparoscopic trans-abdominal preperitoneal prosthetic repair(TAPP), 40 patients in the control group treated with Li-chtenstein inguinal herniorrhaphy.The perioperative indicators were compared between the two groups,the Short-form MPQ(SF-MPQ) was used to evaluate the painat on the 1st day,7th day,in 3rd month,6th month and 12th month after surgery,the incidence of postoperative chronic pain and recurrence rate was compared. Results:There was no significant difference in the operative time between the two groups(P>0.05),the intraoperative blood loss, out-of-bed activity time and the hospital stay in the observation group were significantly lower than those in the control group(P<0.05). On the1st day,7th day,3rd month, in the 6th month after surgery, SF-MPQ score in the observation group was significantly lower than that of the control group(P<0.05),but there was no significant difference in the SF-MPQ score in the 12th month after surgery between the two groups(P>0.05);The postoperative chronic pain and total complication rate in the observation group were 3.39% and 8.47%, respectively, which were significantly lower than 15.00% and 27.50% in the control group(P<0.05); No more recurrence was found in the observation group,and one patient(2.50%) recurrence,there was no significant difference between the two groups(P>0.05). Conclusion:TAPP is an effective treatment for adult recurrent inguinal hernia, for itsrapid recovery, good safety and less chronic pain.
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