Laparoscopic inguinal hernia repair,4 445 cases from a single institution
10.3760/cma.j.issn.1007-631X.2016.09.010
- VernacularTitle:单中心腹腔镜腹股沟疝修补术4445例
- Author:
Fei YUE
;
Jianwen LI
;
Wenrui WANG
;
Ji WANG
;
Pei XUE
;
Bo FENG
;
Minhua ZHENG
- Publication Type:Journal Article
- Keywords:
Hernia,inguinal;
Herniorrhaphy;
Laparoscopes
- From:
Chinese Journal of General Surgery
2016;31(9):724-727
- CountryChina
- Language:Chinese
-
Abstract:
Methods The clinical data of 4445 cases (5 530 hernias) who underwent LIHR at Ruijin Hospital from Jan 2001 to Dec 2015 were analyzed retrospectively.2 125 cases underwent 2 402 trans-abdominal preperitoneal procedure(TAPP),2 306 cases did 2 907 totally extraperitoneal (TEP),and 21 IPOMs in 20 cases.There were 3 216 indirect hernias (60.3％),1 164 direct hernias (21.8％),399 recurrent hernias (7.5％),479 complex hernias (9.0％),and 72 femoral hernias (1.4％).The median time of follow-up is 51 months with a range between 7 and 187 months.Results The average operation time was 27.1 ± 8.7 min for unilateral hernia repair,and 43.0 ± 11.0 min for bilateral hernia repair.The average hospital stay was 1.4 ± 1.1 d.There were 250 seroma (4.7％),68 urinary retention (1.3％),23 transient neuropraxia (0.4％) and 3 paralytic obstruction of intestines (0.1％).Severe complications included 1 port site hernia,1 intestinal injury,and 1 mechanical intestinal obstruction.After a medium follow-up of 51 months,there were 13 recurrent cases (0.24％),including 5 cases after TAPP,7 after TEP,1 after IPOM.Conclusion LIHR is a safe and efficient technique for hernia repair.
