Application of Hernia Needle Assisted Suture in Single-incision Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair
10.3969/j.issn.1009-6604.2025.04.012
- VernacularTitle:疝针辅助缝合在单切口腹腔镜经腹腹膜前腹股沟疝修补术中的应用
- Author:
Quan PENG
1
;
Liang CHEN
1
;
Xu CHEN
1
;
Yu ZHENG
1
;
Huajie YU
1
;
Mingjin ZHANG
1
Author Information
1. 解放军联勤保障部队第九○一医院普外科,合肥 230031
- Publication Type:Journal Article
- Keywords:
Hernia needle;
Single-incision laparoscopic surgery;
Transabdominal preperitoneal repair
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(4):253-256
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility of hernia needle assisted suture in single-incision laparoscopic transabdominal preperitoneal repair(SIL-TAPP).Methods From February 2023 to April 2024,20 young patients with indirect inguinal hernia were treated with SIL-TAPP.A 2 cm curved incision was made at the navel,and a three channel port was inserted for transabdominal preperitoneal repair.A hernia needle was inserted into the affected side lower abdominal wall to assist in one handed suturing and closure of the peritoneum.Results All the operations were successful.The operation time was 85-125 min,with an average of(91.3±10.0)min.The closure of the peritoneum took 18-30 min,with an average of(23.4±3.2)min.Intraoperative blood loss was 5-25 ml.The Visual Analogue Scale(VAS)score at 24 h after surgery was 1-3 points.Postoperative hospitalization lasted 1-5 d,with an average of(2.4±1.0)d.After surgery,one patient had seroma in the groin area and one patient had fat liquefaction in the umbilical cord.All the patients were followed up for 8-22 months after operation,with an average of(15.3±3.4)months.No recurrence after operation or umbilical hernia was noted.Conclusion The use of hernia needle assisted suturing to close the peritoneum during SIL-TAPP surgery can reduce the difficulty of one handed suturing,especially suitable for the early stage of single-incision laparoscopic surgery.
