Objective To explore surgical technique and clinical outcome of transabdominal preperitoneal hernia repair (TAPP) and totally extraperitoneal hernia repair (TEP) in inguinal hernia repair.
Methods 〗The clinical data of 23 patients underwent laparoscopic herniorrhaphy were retrospectively analyzed. Nine patients were underwent TAPP, and 14 patients underwent TEP.
Results 〗None of patients was changed to open operation. Only one patient of TEP was changed to TAPP. Average operative time was (82.1±40.6) min. Blood loss was (5.7±3.0) ml. Disruption of peritoneum happened to 2 patients underwent TEP. The rate of postoperative complications was 21.7% (5/23), which included serum swelling (1 case), scrotal emphysema (2 cases), transient neurapraxia in the area of repair (1 case) and urinary retention (1 case). No chronic pain, foreign body sensation and infection were found. Average hospitalization after operation was (4.3±0.9) d. No recurrence was observed during a follow-up period of 1-15 months.
Conclusion 〗Laparoscope herniorrhaphy is safe due to lower recurrence and complications. It also has the advantages of slight pain and rapid recovery.
Citation：
ZENG Hui,LI Feng. Analysis of Surgical Technique and Clinical Outcome of Laparoscopic Inguinal Hernia Repair. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(2): 98-101. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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Feliu X, Jaurrieta E, Vias X, et al. Recurrent inguinal hernia: a ten-year review [Ｊ] . J Laparoendosc Adv Surg Tech A, 2004; 14(6)： 362.
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郑民华， 李健文. 腹腔镜腹股沟疝修补术中的若干问题探讨 [Ｊ] . 腹部外科， 2004； 17(1)： 11.
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王存川， 张松柏， 陈蓥， 等. 腹腔镜疝修补手术222例经验 [Ｊ] . 中国普外基础与临床杂志， 2005； 12(6)： 551.
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Campanelli G, Pettinari D, Nicolosi FM, et al. Inguinal hernia recurrence: classification and approach [Ｊ] . Hernia, 2006, 10(2)： 159.
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Arregui ME, Young SB. Groin hernia repair by laparoscopic techniques: current status and controversies [Ｊ] . World J Surg, 2005; 29(8)： 1052.
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Feliu-Palà X, Martín-Gómez M, Morales-Conde S, et al. The impact of the surgeon’s experience on the results of laparoscopic hernia repair [Ｊ] . Surg Endosc, 2001; 15(12)： 1467.
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- 1. Edwards CC 2nd, Bailey RW. Laparoscopic hernia repair: the learning curve [Ｊ] . Surg Laparosc Endosc Percutan Tech, 2000; 10(3)： 149.
- 2. Feliu X, Jaurrieta E, Vias X, et al. Recurrent inguinal hernia: a ten-year review [Ｊ] . J Laparoendosc Adv Surg Tech A, 2004; 14(6)： 362.
- 3. 马颂章， 郑民华. 成人腹股沟疝、股疝手术治疗方案（修改稿） [Ｊ] . 外科理论与实践， 2004； 9(1)： 84.
- 4. 向国安， 陈开运， 王汉宁， 等. 完全腹膜化腹腔镜腹腔内置片法与经腹腔腹膜前网片法治疗腹股沟疝比较 [Ｊ] . 中国普外基础与临床杂志， 2007； 14(5)： 521.
- 5. Ger R. The management of certain abdominal herniae by intra-abdominal closure of the neck of the sac. Preliminary communication [Ｊ] . Am R Coll Surg Engl, 1982; 64(5)： 342.
- 6. 李健文， 郑民华. 腹腔镜治疗腹股沟疝的合理选择 [Ｊ] . 中国实用外科杂志， 2006； 26(11)： 824.
- 7. Lau H, Patil NG. Selective non-stapling of mesh during unilateral endoscopic total extraperitoneal inguinal hernioplasty: a case-control study [Ｊ] . Arch Surg, 2003; 138(12)： 1352.
- 8. Pierce RA, Spitler JA, Frisella MM, et al. Pooled data analysis of laparoscopic vs. open ventral hernia repair: 14 years of patient data accrual [Ｊ] . Surg Endosc, 2007; 21(3)： 378.
- 9. Sayad P, Hallak A, Ferzli G. Laparoscopic herniorrhaphy: review of complications and recurrence [Ｊ] . J Laparoendosc Adv Surg Tech A, 1998; 8(1)： 3.
- 10. 郑民华， 李健文. 腹腔镜腹股沟疝修补术中的若干问题探讨 [Ｊ] . 腹部外科， 2004； 17(1)： 11.
- 11. 王存川， 张松柏， 陈蓥， 等. 腹腔镜疝修补手术222例经验 [Ｊ] . 中国普外基础与临床杂志， 2005； 12(6)： 551.
- 12. Campanelli G, Pettinari D, Nicolosi FM, et al. Inguinal hernia recurrence: classification and approach [Ｊ] . Hernia, 2006, 10(2)： 159.
- 13. Arregui ME, Young SB. Groin hernia repair by laparoscopic techniques: current status and controversies [Ｊ] . World J Surg, 2005; 29(8)： 1052.
- 14. Feliu-Palà X, Martín-Gómez M, Morales-Conde S, et al. The impact of the surgeon’s experience on the results of laparoscopic hernia repair [Ｊ] . Surg Endosc, 2001; 15(12)： 1467.
