Clinical comparison of endoscopic total extraperitoneal patchplasty and modified Kugel hernioplas-ty

VernacularTitle:腹腔镜完全腹膜外疝修补术与改良Kugel疝修补术的临床对比分析
Author: Xinbo XIAO ; Kai MIN ; Yongsheng SHAO
Publication Type:Journal Article
Keywords: inguinal hernia; endoscopic total extraperitoneal patchplasty; modified Kugel hernioplasty
From: Journal of Clinical Surgery 2014;(9):647-649
CountryChina
Language:Chinese
Abstract: Objective To compare the safety and efficiency of endoscopic total extraperitoneal patchplasty(TEP)and modified Kugel hernioplasty for inguinal hernia.Methods The clinical data of 284 cases(312 surgeries)of preperitoneal inguinal hernia repair,including 134 cases(152 surgeries)of TEP and 150 cases (160 surgeries)of modified Kugel hernioplasty,were retrospectively evaluated from June 2009 to June 2011.Mean operative time,postoperative hospital stay,postoperative complications and recur-rence were compared between groups.Results There were no significant differences in mean operative time [(48.75 ±12.14)min vs(51.46 ±24.76)min,P=0.248],postoperative hospital stay [(5.23 ± 1.85)d vs(5.84 ±1.52),P=0.126],postoperative complications [5 cases(3.3%)vs 8 cases(5.0%), P=0.598]and recurrence [1 case(0.7%)vs 2 cases(1.3%),P=1.00]between TEP and modified Kugel hernioplasty,espectively.Conclusion TEP and modified Kugel hernioplasty are both methods for preperitoneal hernia repair and they can completely repair the defect of myopectineal orifice.They are safe and effective,which is worthy of being spread in clinical practice.