Application of self fixing mesh with " Y-shaped" placement in laparoscopic transabdominal preperitoneal repair of inguinal hernia of female inguinal hernia
10.3760/cma.j.cn101721-20201115-00010
- VernacularTitle:自固定补片"Y形"铺置法在女性腹股沟疝经腹腹膜前修补术中的应用
- Author:
Lifei TIAN
1
;
Bobo ZHENG
;
Xilin GENG
;
Wenbin YANG
;
Xiaoqiang WANG
Author Information
1. 陕西省人民医院普外一科，西安 710068
- Keywords:
Inguinal hernia;
Laparoscope;
Self fixing mesh;
Female
- From:
Clinical Medicine of China
2021;37(4):344-348
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of self fixing mesh with " Y-shaped" placement in laparoscopic transabdominal preperitoneal repair of female inguinal hernia.Methods:From February 2019 to September 2020, a total of 40 female patients who underwent TAPP (Keyhole method) in Shaanxi Provincial People′s Hospital were researched.Random number table method was used.According to different patch placement methods, the patients were divided into the self fixing mesh with " Y-shaped" placement group (21 cases) and with normal placement group (19 cases). The operative time, placement time, length of stay, Visual Analogue Scale (VAS), postoperative complication were compared between two groups.Results:All 40 patients completed TAPP, and all patients were followed up successfully, with a median follow-up time of 12.5 months.The operation time and patch placement time were (54.9±9.0) min and (10.8±2.5) min in the Y-shaped placement method group and (62.8±11.2) min and (20.3±3.5) min in the conventional placement method group, respectively; the differences between the two groups were statistically significant ( t=2.490, P=0.017; t=.925, P<0.001). There was no statistically significant difference between the two groups in length of stay, VAS score 1 day after surgery and postoperative complications(all P>0.05). Conclusion:In laparoscopic female inguinal hernia repair (keyhole method), the " Y" shape placement method can effectively shorten the time of self fixing patch placement, thus shorten the operation time, and does not increase the risk of complications.
