Analysis of Differences in FIB, D-D, and Inflammatory Factor Levels between Patients Undergoing Pelvic Fracture Surgery through the Pararectus Abdominis Approach and Traditional Ilioinguinal Approach

Abstract

Background: Pelvic fractures require surgery to restore pelvic stability and ensure the restoration of normal physiological structure and function. In pelvic fracture surgery, the choice of surgical approach may have a significant impact on the postoperative recovery and prognosis of patients. This study compared the postoperative recovery effect, coagulation function, and inflammatory indicators of patients through two different surgical approaches: the pararectus abdominis approach and the traditional ilioinguinal approach, aiming to provide more evidence and guidance for clinical practice. Objectives: To observe the differences in fibrinogen (FIB), D-dimer (D-D), and inflammatory factor levels between patients undergoing pelvic fracture surgery through the Pararectus abdominis approach and traditional ilioinguinal approach. Methods: A total of 86 patients with pelvic fractures were divided into a control group (n=43) and an observation group (n=43). The control group received traditional ilioinguinal approach surgery, while the observation group underwent surgery through the Pararectus abdominis approach. Comparisons were between the two groups for the postoperative coagulation function level, inflammatory factor level, and postoperative hip joint function scores. Results: Before surgery, there was no difference in FIB and D-D levels between the two groups (P>0.05). At 3 days and 7 days after the surgery, the levels of FIB and D-D in the two groups increased compared to before the surgery; however, the observation group was lower in this regard than the control group at the same time (P<0.05). The results of the repeated analysis of variance showed that there were group, time, and interaction effects between the two groups (P<0.05). One week after the operation, the scores of hip joint function were compared between the two groups (P>0.05). The hip joint function scores of the two groups were higher at 1 month and 3 months postoperatively than at 1 week, and the observation group was higher than the control group at the same time. Conclusion: Compared with traditional ilioinguinal approach surgery, surgery through the Pararectus abdominis approach can reduce surgical stimulation, decrease coagulation factor secretion, and alleviate systemic inflammatory reactions after the surgery, promoting the recovery of hip joint function.