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首页> 外文期刊>Journal of Clinical and Diagnostic Research >A Study to Compare Transurethral Resection of the Prostate and Inguinal Hernioplasty as Combined and Separate Procedures
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A Study to Compare Transurethral Resection of the Prostate and Inguinal Hernioplasty as Combined and Separate Procedures

机译：联合和分开程序比较经尿道前列腺和腹股沟疝修补术的研究

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Chance of recurring hernia depends greatly on type of surgical procedure and hernia. Practising Transurethral Resection of Prostate (TURP), hernioplasty as combined procedure is not infrequent although separate process is more followed. The combined approach of surgery could save repeated anaesthesia complications and decrease recovery time.Aim: We appraise the result of TURP and inguinal hernia repair performed sequentially in a single session and compared to one when they are done separately.Materials and Methods: This was a prospective study conducted from April 2015 to August 2017 at Sri Ramachandra Institute of Higher Education and Research, formerly Sri Ramachandra University, Porur, Chennai. All patients with inguinal hernia and benign prostate hypertrophy, over the age of 18 years, were divided into two groups, of 25 patients each. The first group underwent TURP and inguinal hernioplasty sequentially in a single session and the second group underwent TURP followed by inguinal hernioplasty as two separate procedures with a gap of at least seven days. A detailed history, mode of presentation and clinical examination was done for all patients. Patients below 18 years or with a history of abdominal surgery or with other types of hernia were excluded from this study. Data were analysed by using SPSS version 19.0 (IBM, USA), using mean, percentage, frequency and standard deviation, ANOVA, paired t-test.Results: Group 1 had higher mean prostate volume (48.66±7.172) and post void residual (223.64±46.644) than Group II (32.34±32.654 and 190.84±44.534 respectively), which was significant. Comorbidities were insignificant between the groups. Mean operative time was longer for Group II (147.64±15.413) but not significantly higher than Group I (143.40±23.836). The mean length of hospital stay was significantly longer in Group II (9.44±1.557) than Group I (6.04±2.051). Patients in both groups had no significant difference in minor complication such as bleeding and clot retention.Conclusion: Combined TURP and inguinal hernioplasty is safe and an effective operative.
机译：疝复发的机会在很大程度上取决于手术程序和疝的类型。进行经尿道前列腺电切术（TURP）时，尽管要遵循更多的独立步骤，但联合手术并不罕见。联合手术方法可以节省重复的麻醉并发症，并减少恢复时间。方法：这是一项于2015年4月至2017年8月在斯里兰卡拉马尚德拉高等教育研究所的前瞻性研究，该研究所以前是金奈市波鲁尔的斯里兰卡拉马尚德拉大学。将所有18岁以上的腹股沟疝和良性前列腺肥大患者分为两组，每组25例。第一组在单个疗程中依次进行TURP和腹股沟疝成形术，第二组进行TURP和腹股沟疝成形术，作为两个独立的过程，间隔至少7天。对所有患者进行了详细的病史，表现方式和临床检查。 18岁以下或有腹部手术史或其他类型疝气的患者被排除在本研究之外。使用SPSS 19.0版（IBM，美国），均值，百分比，频率和标准差，ANOVA，配对t检验分析数据。结果：第1组的平均前列腺体积更高（48.66±7.172）与第二组（分别为32.34±32.654和190.84±44.534）相比，空隙残余（223.64±46.644），这是显着的。两组之间的合并症微不足道。第二组的平均手术时间更长（147.64±15.413），但没有明显高于第一组的平均手术时间（143.40±23.836）。第二组（9.44±1.557）的平均住院时间明显长于第一组（6.04±2.051）。两组患者的轻微并发症（如出血和血凝块保留）均无明显差异。结论：TURP联合腹股沟腹股沟成形术是安全有效的手术方法。

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