Clinical Application of Total Extraperitoneal Inguinal Hernia Repair Under Two Laparoscopes
10.3969/j.issn.1009-6604.2017.06.013
- VernacularTitle:双腹腔镜全腹膜外无张力疝修补术治疗腹股沟疝的临床应用
- Author:
Cheng ZHONG
;
Hong WANG
- Keywords:
Inguinal hernia;
Laparoscopy;
Total extraperitoneal repair
- From:
Chinese Journal of Minimally Invasive Surgery
2017;17(6):524-526
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the feasibility and the efficacy of total extraperitoneal repair (TEP) under two laparoscopes.Methods Clinical data of 51 patients with inguinal hernia who underwent TEP under two laparoscopes from July 2015 to March 2016 in our hospital were analyzed retrospectively.During TEP,we added a 5-mm laparoscope for monitoring and exploration in the abdominal cavity.Results All the operations of TEP under two laparoscopes were successful.The operation time lasted 42-176 min with a mean of (74 ±27) min.The intraoperative blood loss was 5-30 ml with a mean of (12.8 ±5.9) ml.The length of postoperative hospital stay was 2-7 days with a mean of (4.0 ± 1.1) days.The percentage of postoperative complications was 11.8％ (6/51),including inguinal area seroma which accounted for 2.0％ (1/51),inguinal region pain accounting for 3.9％ (2/51),and postoperative urinary retention for 5.9％ (3/51).No infection was found.The follow-up period ranged from 3 to 11 months (mean,7 months),no recurrence was observed during this period.Conclusions TEP under two laparoscopes can treat inguinal hernia precisely.It is also helpful to find compound inguinal hernia and occult inguinal hernia.
