Objective: To investigate the clinical efficacy of using porcine small intestinal submucosa (SIS) patch in laparoscopic transabdominal preperitoneal (TAPP) hernia repair and open tension-free hernioplasty (Lichtenstein procedure) for inguinal hernia in young adults.
Methods: The clinical data of 268 young adult patients with inguinal hernia undergoing hernia repair using SIS patch from February 2015 to February 2018 in the Department of Hernia and Abdominal Wall Surgery of Beijing Chaoyang Hospital were retrospectively analyzed. Of the patients, 152 cases underwent Lichtenstein hernioplasty (Lichtenstein group), and 116 cases received TAPP procedure (TAPP group). The main clinical variables were compared between the two groups of patients.
Results: The operative time and hospitalization costs were significantly less in Lichtenstein group than those in TAPP group, but the perioperative pain score was significantly higher in Lichtenstein group than that in TAPP group (all P<0.05). There were no significant differences in terms of intraoperative blood loss and length of hospital stay between the two groups (both P>0.05). The incidence rates of seroma on one week, one month and three months after operation were all significantly lower in Lichtenstein group than those in TAPP group (all P<0.05). No complications such as foreign body sensation, intestinal obstruction and intestinal fistula occurred in any of the patients.
Conclusion: In young adult patients with inguinal hernia, using SIS patch has demonstrable efficacy for either open or laparoscopic hernioplasty. However, both procedures using this patch have their advantages and disadvantages.