Application of placing biological patches by the rolling curtain method in laparoscope hernia neoplasty

Objective To comment on the feasibility and advantage of using the "rolling curtain" method to place biological hernia patches in abdominal peritoneum hernia neoplasty. Methods Sixty cases undergoing laparoscopic abdominal peritoneum hernia neoplasty with biological patches from January 2013-January 2014 were divided into control group and observation group using random number table method. The patients in the observation group were given "rolling curtain" method to place biological patch, and those in the control group were subjected to the traditional tiling method to place hernia patch. The operation time, hospital fees, and occurrence rate of surgical complications were comparatively analyzed in the two groups. Results All 60 cases of laparoscope Abdominal peritoneum hernia neoplasty were successful. None were converted to open operations. Total operation time in the observation group and control group was (55.0±4.6) min and (70.0±7.8) min, respectively (t=2.48, P<0.05). The hospital fees in the observation group and control group were (22 380±432) yuan RMB and (24 340±624) yuan RMB, respectively (t=2.06, P<0.05). The incidence of surgical complications in the observation group and control group was 3.33% (1/30) and 16.70% (5/30), respectively (χ2=5.93, P<0.05). Conclusion The "rolling curtain" method can be applied to laparoscopic abdominal peritoneum hernia neoplasty with biological patches. Compared with the traditional method, the "rolling curtain" method has apparent advantages, and fewer complications during and after the operation, thus is recommended. Key words: Biological patch; Laparoscope; Hernia neoplasty