Laparoscopic totally extraperitoneal inguinal hernia repair by using one-point-suturing fixed soft mesh
10.3969/j.issn.1009-9905.2018.04.005
- VernacularTitle:单点固定与不固定补片的完全腹膜外腹腔镜腹股沟疝修补术疗效比较
- Author:
Da-Chuan WANG
1
;
Feng BAO
;
Wen LIU
;
Ying-Juan YU
;
Chun-Lin ZHONG
Author Information
1. 绵阳市中心医院普外科 四川 绵阳621000
- Keywords:
Hernia,inguinal,Totally extraperitoneal;
Herniorrhaphy;
Laparoscopy;
Single-point fixation
- From:
Chinese Journal of Current Advances in General Surgery
2018;21(4):271-275
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the feasibility and applicability of laparoscopic totally extraperitoneal (TEP) inguinal hernia repair by using one-point-suturing fixed soft mesh.Methods:90 male patients were retrospectively analyzed from Jan.2013 to Mar.2015,all of them were diagnosed with unilateral inguinal hernia and treated with TEP surgery.Among them,there were 55 patients with free of air bag and free of fixed TEP (free fixed group) and 35 patients with free of air bag and fixed by one-point-suturing TEP (one-point-suturing fixed group),all of patients were used by soft mesh.They were analyzed about their differences of postoperative pain,gastrointestinal function recovery time,the postoperative feeding time,the bedside movement time,the hospitalization time,and the incidence of postoperative complications.Results:Compared with the free fixed group,the operation time of the one-point-suturing fixed group was significantly shorter,the bedside movement time earlier,gastrointestinal function recovery time earlier,the postoperative feeding time earlier(P＜0.05),but the difference were not statistically significant in intraoperative blood loss,the postoperative pain,the hospitalization time,the incidence of postoperative seroma (P＞0.05),and therewere no recurrence in both groups.Conclusion:Compared with the free fixed TEP,the one-point-suturing fixed TEP has significantly shorter operation time,reduce the operation difficulty,and make the postoperative recovery faster,so it is safe,feasible and appropriate to application.
