Analysis of the safety and feasibility of transabdominal preperitoneal approach in the treatment of huge inguinoscrotal hernia
10.3760/cma.j.cn115396-20191101-00204
- VernacularTitle:腹腔镜经腹腹膜前修补术治疗巨大阴囊疝的安全性及可行性分析
- Author:
Qinghua WU
1
;
Xin LIU
;
Xiting BAO
;
Jiele HU
;
Xiaowei YAN
;
Kun LIU
;
Yimei JIANG
;
Ming XIANG
Author Information
1. 上海交通大学医学院附属瑞金医院普外科 201801
- From:
International Journal of Surgery
2020;47(10):658-661
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the experience of laparoscopic transabdominal preperitoneal hernia repair (TAPP) and to discuss its safety and feasibility.Methods:Data of 26 consecutive cases from January 2015 to March 2018 in Ruijin Hospital, Shanghai Jiao Tong University School of Medicine were analyzed retrospectively. They were all males, aged (68.3±14.1) years, with a range from 57 to 86 years. Body mass index was (23.3±4.1) kg/m 2. Bathel indexwas 91.4±5.6. Intraoperative main procedures were done in accordance to Guideline of Standardized Operation for Laparoscopic Inguinal Hernia Repair. A drainage tube or catheter was not routinely placed intraoperatively. Patients were discharged but for any complaints. Observation data included intraoperative, postoperative and following-up data. The following-up period was more than 12 months by telephone or clinic. The long-term complications and the changes of Barthel index were observed. Paired sample t test was used to compare the changes of Barthel index before and after operation. Results:Of the 26 cases, none was converted to open procedure and no intra- or post-operative serious complications occurred. Occurrence of surgical site seroma was 17 (65.4%) cases. The operating time was (76.5±23.6) min. Intraoperative blood loss was (8.6±4.4) mL. The postoperative hospitalization was (2.3±1.2) d. Bathel index in 1 month postoperative was 96.9±3.2. It was higher statistically than that preoperative ( t=-6.968, P=0.000). Conclusions:TAPP in the treatment of huge inguinoscrotal hernia is safe and feasible. Mastering the anatomical characteristics and the according procedures is an important factor for successful operation.
