Transabdominal preperitoneal laparoscopic hernia repair with crossencircling arms of mesh

VernacularTitle:双臂交叉环抱型补片在经腹腹腔镜腹膜外腹股沟疝修补术中的应用
Author: Yunzhang XUE ; Shuhong AN ; Yuelin SHEN ; Hexin DONG ; Jingjing JIANG ; Yanmei LIU ; Zengkun HAN
Publication Type:Journal Article
Keywords: Hernia,inguinal; Laparoscopies; Surgical procedures,operative; Mesh
From: International Journal of Surgery 2012;39(9):587-591,封3
CountryChina
Language:Chinese
Abstract: Objective To explore the feasibility and application skills of transabdominal preperitoneal prosthesis (TAPP) with cross-encircling arms of mesh.Methods From Septemer 2009 to February 2012,46 cases were given TAPP with cross-encircling arms of mesh.The clinical data and surgery videos were retrospectively analyzed.Results All of the 46 cases with 53 inguinal hernias were successful in TAPP.The mean operative time of unilateral hernia was (57.74 ± 11.89) min,the mean operative time of 7 cases with biliateral hernia was (83.86 ±20.42) min and the longest time was 125 min.There were 6 cases with the contralateral hidden hernia,2 cases with hematoma,1 case with paresthesias of skin,no realpse.Conclusion The mesh with cross-encircling arms can be exactly fixed by spermatic cord,ductus deferens or round ligament of uterus,without stitching and stappling.