腹腔镜腹股沟疝修补术治疗老年腹股沟疝的临床疗效观察

Objective To explore the clinical efficacy of laparoscopic inguinal hernia repair in the treatment of inguinal hernia in the elderly. Methods Using the random number table method, 120 elderly patients with inguinal hernia from January 2024 to October 2025 were divided into two groups, with 60 cases in each group. The control group underwent open tension-free hernia repair, while the observation group underwent laparoscopic inguinal hernia repair. The clinical efficacy of the two groups was compared. Results The clinical efficacy of the observation group was higher than that of the control group(P<0.05). Compared with the control group, the observation group had shorter times of getting out of bed, hospitalization and anal flatus, less intraoperative blood loss, longer operation time and higher hospitalization cost(P<0.05). The visual analogue scale scores of the observation group at 1 day, 3 days, and 7 days after the operation were lower than those of the control group(P<0.05). The immune indicators levels of the observation group three days after the operation were higher than those of the control group(P<0.05). The incidence of short-term postoperative complications in the observation group was lower than that in the control group(P<0.05). Conclusion Laparoscopic inguinal hernia repair can enhance the clinical efficacy of inguinal hernia in the elderly, accelerate recovery, alleviate postoperative pain, improve immune indicators and reduce the incidence of complications.