Clinical efficacy comparison between laparoscopy and open tissue separation in the treatment of abdominal wall hernia

ObjectiveTo compare the effects between laparoscopy and open tissue separation in the treatment of abdominal wall hernia.

MethodsAccording to the different treatment methods, 116 patients with abdominal hernia were divided into the control group and observation group(58 cases each group).The control group was treated with open tissue separation, and the observation group was treated with laparoscopic tissue separation.The operation time, pain, quality of life, postoperative infection, hematoma, complication and postoperative recurrence were compared between two groups.

ResultsThe amount of bleeding during operation in the observation group was lower than that in the control group, and the length of incision and hospitalization time in the observation group were shorter than those in the control group(P < 0.01), but there was no statistical significance in operation time between two groups(P>0.05).The postoperative VAS score and pain duration time in observation group were lower than those in control group(P < 0.01).After operation, the SF-36 score in two groups increased, and which in observation group was better than that in control group(P < 0.01).The postoperative infection rate, hematoma rate and re-operation rate in observation group were lower than those in control group(P < 0.05 to P < 0.01), while the curative effect in observation group was higher than that in control group(P < 0.05).

ConclusionsThe treatment of abdominal wall hernia with laparoscopic tissue separation can effectively reduce the postoperative infection rate and incidence rate of hematoma and reoperation of patients.