Clinical effect study of integrated traditional Chinese and Western medicine in the treatment of inguinal incarcerated hernia
MA Hong,LIU Wei-jun,ZHANG Nan
Abstract:
Objective To investigate the efficacy of integrated traditional Chinese and Western medicine in the management of incarcerated inguinal hernia, with a focus on reducing hospitalization duration, minimizing postoperative complications, and enhancing patient recovery outcomes. Methods A retrospective analysis was conducted on the clinical data of 96 patients with incarcerated inguinal hernia admitted to our hospital from January 2021 to December 2023. The study evaluated treatment modalities (surgical approaches, non-surgical management), surgical success rates, operative duration, postoperative complications (chronic pain, seroma, surgical site infection), mortality rates, recurrence rates, and length of hospital stay. Results Among the 96 patients with incarcerated inguinal hernia, 6 did not undergo surgery and 90 received surgical treatment. Among the 90 surgical patients, there were 67 cases of indirect hernia (4 cases of strangulation, accounting for 5.97%), 7 cases of direct hernia (1 case of strangulation, accounting for 14.2%), and 12 cases of femoral hernia (3 cases of strangulation, accounting for 25%). The main surgical procedures for the 90 patients were laparoscopic transabdominal preperitoneal hernia repair (TAPP) in 68 cases and open surgery in 22 cases. The average operation time was (78.6±16.8) minutes, and the average hospital stay was (6.2±1.7) days. Complications included seroma and incisional hernia, with no incision infection or chronic pain. The mortality rate of surgical patients was 2.2% (2/90), and the recurrence rate was 1.1% (1/90). According to the postoperative treatment plan, the 68 patients who underwent TAPP were divided into two groups: the integrated traditional Chinese and Western medicine group (36 cases) and the Western medicine treatment group (32 cases). The hospital stay and recovery time of gastrointestinal function in the integrated traditional Chinese and Western medicine group were significantly shorter than those in the Western medicine treatment group, and the difference was statistically significant (P < 0.001). There was no statistically significant difference in the incidence of seroma and the use rate of postoperative analgesia between the two groups (P > 0.05). Conclusion TAPP surgery is safe and effective in treating incarcerated inguinal hernia. The combination of traditional Chinese and Western medicine can significantly shorten the hospital stay of patients and reduce the incidence of postoperative complications.
