Experience of rapid deployment of pre-stitched mesh handle in transabdominal preperitoneal inguinal hernia repair surgery
10.3760/cma.j.cn115396-20241110-00345
- VernacularTitle:预缝补片提手在经腹腔腹膜前疝修补术中实现快速铺放的应用研究
- Author:
Yong LIANG
1
;
Jing SUN
Author Information
1. 上海交通大学医学院附属瑞金医院无锡分院普外科，无锡 214000
- Keywords:
Hernia, inguinal;
Laparoscopes;
Therapeutic uses;
Transabdominal preperitoneal inguinal hernia repair;
Pre-stitched handle;
Rapid deployment
- From:
International Journal of Surgery
2025;52(8):529-534
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the advantages and clinical experience of rapid dent of a pre-stitched mesh handle during transabdominal preperitoneal inguinal hernia repair (TAPP) surgery.Methods:A retrospective cohort study was conducted to collect the clinical data of 116 patients who underwent TAPP surgery at Department of General Surgery, Wuxi Branch of Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, between January 2022 and April 2024. There were 104 males and 12 females. Based on inclusion and exclusion criteria, patients were divided into an experimental group (50 patients, using intraoperative pre-stitched mesh handle placement) and a control group (66 patients, using conventional mesh placement). The operation time, patch placement time, pneumoperitoneum carbon dioxide dosage, short-term postoperative complications and postoperative visual analogue scale (VAS) scores were observed and recorded in both groups. Normally distributed measurements were expressed as mean ± standard deviation ( ± s), and independent samples t-test was used for comparison between groups. Count data were compared between groups using the chi-square test. Results:The operation time, patch placement time, and carbon dioxide dosage were (42.5±5.0) min, (2.9±0.4) min, and (2.8±0.6) L in the experimental group, which were lower than that of the control group, whose operation time, patch placement time, and carbon dioxide dosage were (56.8±7.2) min, (4.4±0.9) min, and (3.5±0.5) L. The difference between these two groups was statistically significant ( P<0.05). The total incidence of complications such as hypercapnia, post-laparoscopic shoulder pain (PLSP), and nausea and vomiting was 24.0% in the experimental group and 42.4% in the control group, with the experimental group showing a lower incidence ( P<0.05). The VAS at 24 hours postoperatively was lower in the experimental group than in the control group, while the VAS at 48 hours postoperatively was higher in the experimental group ( P<0.05). However, there was no significant difference in VAS scores between the two groups at 72 hours postoperatively ( P>0.05). Conclusion:In transabdominal laparoscopic hernia repair, the pre-sewn patch holder can effectively simplify the surgical operation steps, reduce the operating difficulty, and enable the soft and smooth patch to be laid quickly, precisely and smoothly, thus reducing the amount of pneumoperitoneum and shortening the operation and anaesthesia time without increasing the risk of complications. It is worthy of clinical promotion and application.
