Totally extraperitoneal vs. transabdominal preperitoneal for inguinal hernia
10.3969/j.issn.1007-1989.2017.12.017
- VernacularTitle:腹腔镜完全腹膜外疝修补对中青年男性 腹股沟疝疗效的影响
- Author:
Tang SHI-JU
1
;
Wu SHUI-LAI
;
Dong HONG-PING
;
Liang JIANG
;
Guo PAI
Author Information
1. 广东省东莞市康华医院 胃肠甲状腺疝外科
- Keywords:
inguinal hernia;
hernia repair;
laparoscopy;
totally extraperitoneal;
abdominal peritoneum
- From:
China Journal of Endoscopy
2017;23(12):83-87
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of laparoscopic totally extraperitoneal (TEP) on sexual function in young and middle-aged patients with inguinal hernia. Methods 147 male with inguinal hernia treated by TEP from January 2014 to Feberary 2016 were included in the observation group, while 133 male with inguinal hernia treated by laparoscopic transabdominal preperitoneal (TAPP) during the same time were included in the control group. The effect of surgery and changes on sexual function between the two groups were retrospective analyzed and compared. Results The operative time, length of hospital stay, time of postoperative pain and in the observation group shorter than in the control group. The differences between the two groups were statistically significant (P < 0.05). The level of seminal alpha glucosidase, fructose contents and acid phosphatase in the observation group were higher than in the control group at 12 months after surgery. The differences between the two groups were statistically significant (P < 0.05). There were a small number of complications in both groups. After symptomatic treatment, all complications were cured. The ratio of complications and recurrences of the two groups have no significantly differences (P > 0.05). Conclusion Compared with laparoscopic TAPP, laparoscopic TEP can shorten the time of postoperative recovery, and will not increase the complications and recurrences. It is good for recovery of semen quality. It is worthy of attention.
