腹股沟疝患者腹腔镜下经腹腹膜前疝无张力修补后肠粘连发生情况及其影响因素分析OA

Objective:To analyze the occurrence of intestinal adhesions and the influencing factors in patients with inguinal hernia undergoing laparoscopic anterior abdominal wall tension-free repair(TAPP).Method:Convenience sampling was employed to select 120 patients admitted to Guiyang Baiyun Youai Hospital from September 2023 to July 2025.Patients were divided into an adhesion group and a non-adhesion group based on post-TAPP intestinal adhesion status,and logistic regression analysis was employed to explore the risk factors for intestinal adhesion in these patients.Result:Among the 120 patients,34(28.33%)developed intestinal adhesions after TAPP.Univariate analysis showed statistically significant correlations between age,diabetes,abdominal surgical history,mesh type,and postoperative bed rest duration(P＜0.05).Multivariate logistic regression analysis revealed that age＞60 years(OR=4.569),history of diabetes(OR=6.778),history of abdominal surgery(OR=7.500),high-molecular-weight mesh(OR=5.402),and postoperative bed rest duration＞1 day(OR=4.971)were risk factors for intestinal adhesion after TAPP in inguinal hernia patients(P＜0.05).Conclusion:The risk factors for intestinal adhesion after TAPP in inguinal hernia patients are diverse,including age＞60 years,history of diabetes,history of abdominal surgery,high-molecular-weight mesh,and postoperative bed rest duration＞1 day.Clinicians should prioritize monitoring these high-risk groups and implement targeted preventive measures.