单孔腹腔镜完全腹膜外疝修补术中疝囊横断与完全剥离治疗老年阴囊疝的疗效比较OA

Objective:To investigate the feasibility and short-term clinical efficacy of hernial sac transection and complete dis-section in single-port laparoscopic totally extraperitoneal hernia repair for the treatment of elderly scrotal hernia.Methods:A retrospec-tive analysis was conducted on the clinical data of 296 elderly patients with scrotal hernia who underwent single-port laparoscopic to-tally extraperitoneal inguinal hernia repair from May 2022 to Oct.2025.Among them,156 patients received intraoperative hernial sac transection and ligation(transection group),and 140 patients received complete intraoperative hernial sac dissection(dissection group).Relevant indicators including operation time,intraoperative blood loss,postoperative hospital stay,postoperative complica-tions,and time to return to normal life were compared between the two groups.Results:All patients successfully underwent single-port laparoscopic totally extraperitoneal inguinal hernia repair without conversion to open surgery.The transection group had significantly shorter operation time[(35.61±5.19)min vs.(47.39±6.27)min,P<0.05],less intraoperative blood loss[(6.01±1.79)mL vs.(10.03±2.75)mL,P<0.05],lower incidence of postoperative complications[11.54%(18/156)vs.20.71%(29/140),P<0.05],and shorter time to return to normal life[(15.31±3.76)d vs.(20.83±5.61)d,P<0.05].There was no statistically significant difference in postoperative hospital stay between the two groups(P>0.05).Postoperative follow-up showed no cases of chronic pain,intestinal obstruction,or hernia recurrence in either group.Conclusions:Compared with complete hernial sac dissection,hernial sac transection in single-port laparoscopic totally extraperitoneal inguinal hernia repair for elderly scrotal hernia can shorten operative time,reduce intraoperative blood loss,accelerate patients′ return to normal life,and reduce the incidence of postoperative complica-tions,which is worthy of clinical promotion and application.