Clinical effect of tension free hernia repair in the treatment of inguinal hernia combined with ascites

Objective:To investigate the clinical effect of tensionfree hernia repair in the treatment of inguinal hernia combined with ascites.
Methods:The retrospective crosssectional study was conducted. The clinical data of 81 inguinal hernia patients with ascites who were admitted to the West China Hospital of Sichuan University from June 2008 to June 2014 were collected. Patients with peritoneal effusion received restriction of sodium in take and diuretic therapy, and patients with severe hypoproteinemia received intravenous injection of albumin. All the patients underwent tensionfree hernia repair (Gilbert way). Observation indicators: (1) surgical and postoperative situations: operation time, diameter of hernia ring, defect area of hernia, postoperative plasma drainage, removal time of plasma drainagetube, postoperative complications and duration of hospital stay; (2) followup situation: recurrence and longterm complications of inguinal hernia. Followup using telephone interview, outpatient examination and inpatient examination was performed to detect the hernia recurrence and longterm complications for 24 months up to June 2016. Measurement data with normal distribution were represented as ±s.
Results:(1) Surgical and postoperative situations: 81 inguinal hernia patients with ascites underwent successful tensionfree hernia repair. The operation time, diameter of hernia ring and defect area of hernia were respectively (46±19)minutes, (3.1±0.7)cm and (25±13)cm². Sixtyfive patients received indwelling plasma drainagetube after repair, volume of light bloodstained fluid was respectively ≥100 mL in 39 patients and <100 mL in 26 patients at 24 hours postoperatively, with a removal time of plasma drainagetube of (3.2±1.0)days. Sixteen patients didn't receive indwelling plasma drainagetube. Of 81 patients, 9 and 4 were respectively complicated with mild seroma of incision and scrotal swelling, they were improved and then out of hospital after adequate drainage, with a duration of hospital stay (6.7±1.7)days. (2) Followup situation: of 81 patients, 76 were followed up for 24 months, without recurrence and related complications of inguinal hernia.
Conclusion:The tensionfree hernia repair in the treatment of inguinal hernia combined with ascites is safe and feasible, with good clinical effects.