title: [Efficacy comparison of laparoscopic versus open tension-free hernia repair using biologic mesh for inguinal strangulated hernia].
abstract: OBJECTIVE
  To compare the efficacy of laparoscopic versus open tension-free mesh repair using biologic mesh for inguinal strangulated hernia.
  
  
  METHODS
  Clinical data of 27 patients with inguinal strangulated hernia in the Shanxi Provincial People's Hospital between January 2012 and April 2014 were analyzed retrospectively. All the patients underwent one-stage tension-free repair using biological mesh, including laparoscopic(n=13) and open procedures(n=14).
  
  
  RESULTS
  As compared with the open group, the laparoscopic group had shorter operative time [(90.8±11.6) min vs. (130.8±32.5) min, P<0.01], lower rates of hematoma/seroma and wound infection[(7.7% vs. 42.9%) and (0 vs. 28.6%) respectively, both P<0.05], faster recovery of bowel function [(2.5±0.3) d vs. (3.8±1.4) d, P<0.01], and shorter hospital stay [(6.3±1.8) d vs. (9.8±3.2) d, P<0.01]. The mean follow-up was 5.7 months (ranged from 2 to 12 months), and no recurrence or serious complications occurred.
  
  
  CONCLUSIONS
  Laparoscopic tension-free hernia repair using biological mesh for inguinal strangulated hernia has significant advantage versus open operation.
authors.affiliation: Department of General Surgery, Shanxi Provincial People's Hospital, Xi'an 710068, China. binbin1140@163.com.
authors.forename: Bin
authors.initials: B
authors.lastname: Song
authors.forename: Dong
authors.initials: D
authors.lastname: Liu
authors.forename: Sida
authors.initials: S
authors.lastname: Liu
authors.forename: Zhijun
authors.initials: Z
authors.lastname: Mao
authors.forename: Xiaofan
authors.initials: X
authors.lastname: Li
authors.forename: Zengzhan
authors.initials: Z
authors.lastname: Gao
authors.forename: Qingguo
authors.initials: Q
authors.lastname: Du
authors.forename: Yanbin
authors.initials: Y
authors.lastname: Long
mesh_terms: D001688:Biological Products; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D011183:Postoperative Complications; D012189:Retrospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome
chemical_list: D001688:Biological Products