Journal of Modern Nursing MedicineJPCNS

Objective To evaluate the clinical effect of tension-free hernia repair in the treatment of recurrent inguinal hernia. Methods A retrospective analysis was conducted on 60 patients who underwent tension-free hernia repair surgery for recurrent inguinal hernia in our hospital from June 2023 to June 2024. Based on the surgical form of the patients, 5 cases of tension-free hernia repair with hernia ring filling were classified as Group A; 10 cases of Lichtenstein Tension Free Hernioplasty were considered as Group B, and 45 cases of retroperitoneal space repair were considered as Group C. Compare the surgical time; Statistics on the use of antibiotics; Adopting postoperative visual analogue scale (VAS) to evaluate the patients pain index; Analyze the prognosis based on the management of complications and follow-up results. Results Surgery time: The shortest surgery time was 41 minutes; The longest surgery took 91 minutes. The average surgical time was (73.25±11.26) minutes. Antibiotic use: Group C routinely used antibiotics once during surgery, and the postoperative antibiotic use time in all three groups was less than 48 hours. Off bed activity time: The average postoperative off bed activity time is (8.23±1.24) hours. VAS assessment; On postoperative day 1, the average pain index of patients evaluated by VAS was (3.95±1.09) points, and on postoperative day 3, the average pain index of patients evaluated by VAS was (2.41±0.75) points. Postoperative complications: 1 patient had scrotal hematoma, 2 patients had pain in the groin, and 3 patients had urinary retention. The proportion of total complications is 6/60,10%. Discharge time and follow-up status: The patients postoperative discharge time was 3-9 days, with an average of (5.41±1.36) days. All 60 patients were followed up and there was no recurrence within 36 months (P<0.05). Conclusion Tension free hernia repair is a safe and antibiotic free treatment for recurrent inguinal hernia. It allows for early mobilization after surgery, significantly reduces pain index after analgesia, has a low incidence of postoperative complications, and a low recurrence rate. Overall, the treatment effect is ideal.

Tension-free hernia repair surgery; Recurrent inguinal hernia; Hernia repair