Clinical analysis of laparoscopic totally extraperitoneal hernia repair combined with high position ligation of spermatic vein
10.3969/j.issn.1007-1989.2016.12.022
- VernacularTitle:腹腔镜全腹膜外腹股沟疝修补术联合精索静脉高位结扎手术的临床分析
- Author:
Shijian YI
;
Wenbin TU
;
Yang WU
;
Kewan LI
- Keywords:
inguinal hernia;
laparoscopic totally extraperitoneal hernia repair;
varicocele;
high ligation of the internal cord vein
- From:
China Journal of Endoscopy
2016;22(12):100-102
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical experience of laparoscopic total extraperitoneal hernia repair (TEP) combined with varicocele ligation for treating inguinal hernia combining with varicocele (VC).Methods Clinical data of 22 patients of inguinal hernia complicated with varicocele from April 2011 to April 2016 was retrospectively analyzed. All the patients were treated by TEP combined with high ligation of spermatic vein. Then monitor and analyzed clinical indexes intra- and postoperatively.Results The mean operation time was (55.0 ± 9.0) min, mean intraoperative blood loss was (5.5 ± 2.8) ml, all patients can eat after anesthesia recovery and off-bed after staying in bed for 24 hours; all patients don’t need postoperative analgesia; only 1 case suffered seroma postoperative; the average hospitalization time was (4.7 ± 0.9) days; postoperative follow-up of 1 to 5 year without recurrence.Conclusion The surgical effect of TEP combined with varicocele ligation is confirmed with less invasive, faster postoperative recovery and achieving an obvious social and economical effect, it is worthy of deserving further clinical application.
