Reason analysis of reoperation after failed laparoscopic inguinal hernia operation

VernacularTitle:腹腔镜下腹股沟疝手术失败后再手术原因分析
Author: Jiapu XU
Publication Type:Journal Article
Keywords: inguinal hernia; laparoscopic surgery; reoperation
From: Journal of Clinical Surgery 2014;(9):650-652
CountryChina
Language:Chinese
Abstract: Objective To analyze the reasons and notes of failed laparoscopic surgery for patients with inguinal hernia.Methods The clinical data of 17 cases of failed laparoscopic inguinal hernia opera-tion from August 2003 to January 2013 in our hospital were reviewed retrospectively.Results The reasons of reoperation included 9 cases of recurrence,1 case of patch infection,1 case of intestinal fistula,1 case of intestinal wall hernia,2 cases of suture reaction,1 case of bladder injury,1 case of ruptured umbilical inci-sion,1 case of scrotal hematoma and 1 cases of iliac vascular injury.Six patients received repeated laparo-scopic surgery and the other patients were treated with open surgery.All patients were successfully treated and discharged after 2-15 days.Conclusion When the laparoscopic technique is applied for inguinal her-nia,indications of laparoscopic surgery should be strictly controlled and operation standard should be fol-lowed.For patients with special condition,difficult laparoscopic operation should be timely converted to laparotomy.Close attention needs to be paid to the occurrence of postoperative complications and they need timely treatment.