常规与微创技术治疗股疝的比较分析

B. Atanasov, Velizar Hadzhiminev
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摘要

尽管医学在诊断和治疗选择方面取得了进步,但股疝的治疗对外科医生来说仍然是一个挑战。在过去,这种疝气是用传统的手术来修复的。如今,微创技术是许多外科医生的首选方法。我们研究的目的是比较开放手术和微创手术治疗股疝患者的结果。在本研究中,我们纳入了2018年1月至2022年12月期间在EUROHOSPITAL- Plovdiv外科和大学医院“圣乔治”普通外科手术的原发性单侧股疝患者。患者分为常规手术组和微创手术组。对性别、年龄、手术干预时间、术后疼痛、住院时间和并发症进行比较分析。在5年的时间里,共诊断并手术治疗股疝33例。其中16例采用常规手术,17例采用腹腔镜手术。微创组患者住院时间明显缩短(2.1天vs 3.0天),术后疼痛明显减轻(1.8天vs 3.6天)。两组术后并发症发生率相似。手术是治疗股疝的唯一方法。目前,微创技术已成为传统手术的首选方法。我们相信,由经验丰富的外科医生进行腹腔镜手术治疗股疝是有效和安全的,可以适用于所有类型的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COMPARATIVE ANALYSIS OF CONVENTIONAL AND MINIMALLY INVASIVE TECHNIQUES IN THE TREATMENT OF FEMORAL HERNIAS
Despite the advances in medicine regarding diagnosis and therapeutic options, the treatment of femoral hernias remains a challenge for the surgeon. In the past, this type of hernia was repaired with conventional surgery. Today, mini-invasive techniques are preferred method of choice by many surgeons. The aim of our study is to compare the results of open and minimally invasive surgery in patients with femoral hernias.In the present study we include patients with primary unilateral femoral hernias operated in the Surgical Department of EUROHOSPITAL- Plovdiv and the Department of General Surgery of University Hospital “St. George” for the period January 2018 to December 2022. The patients were divided into two groups - conventional and minimally invasive operations. Comparative analysis was performed regarding sex, age, duration of operative intervention, postoperative pain, hospital stay and complications.33 patients in total were diagnosed and operated for femoral hernias for a period of 5 years. Of these, 16 patients were operated conventionally and 17 underwent laparoscopic surgery. Patients in the minimally-invasive group had a significantly shorter hospital stay (2.1 vs 3.0 days) and less postoperative pain (1.8 vs 3.6 on the 1 to 5 scale). The incidence of the postoperative complications was similar in both groups.Surgery is the only method of treatment of femoral hernias. Nowadays, minimally invasive techniques became a method of choice compared with conventional surgery. We believe that laparoscopic operations for femoral hernia, performed by experienced surgeon, are effective and safe and could be applied to all type of patients.
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