鲍峰 1刘文 1赵平武 2王大川 1于颖娟 1钟春林1
作者信息
- 1. 绵阳市中心医院,四川 绵阳,621000
- 2. 绵阳市中医医院
- 折叠
摘要
Abstract
Objective:To investigate the feasibility and applicability of laparoscopic totally extraperitoneal ( TEP ) inguinal her-nia repair by using one-point-suturing method. Methods:Fifty male patients were retrospectively analyzed from Jan. 2013 to Aug. 2014, all of them were diagnosed with bilateral inguinal hernia and treated with TEP surgery. Among them,there were 33 patients with free of air bag and free of fixed TEP ( free fixed group) and 17 patients with free of air bag and fixed by one-point-suturing TEP ( one-point-su-turing fixed group) . They were analyzed about their differences of postoperative pain,gastrointestinal function recovery time,the bedside movement time,the hospitalization time,and the incidence of postoperative complications. Results:Compared with the free fixed group, the operation time of the one-point-suturing fixed group was significantly shorter [70 (55,80) min vs. 90 (65,105) min,P=0. 024], but the differences were not statistically significant in postoperative pain (41. 2% vs. 39. 4%,P=0. 903),gastrointestinal function re-covery time [(15. 2±4. 3) h vs. (14. 1±4. 0) h,P=0. 396],the bedside movement time [(20. 0±2. 8) h vs. (20. 8±4. 1) h,P=0. 436],the hospitalization time [3 (2,5) d vs. 4 (3,5) d,P=0. 199],the incidence of postoperative seroma (11. 8% vs. 21. 2%,P=0. 341),and there were no recurrences in both groups. Conclusions:Compared with the free fixed TEP,the one-point-suturing fixed TEP has significantly shorter operation time,and can reduce the operation difficulty in repairing bilateral inguinal hernia,so it is safe, feasible and appropriate to application.关键词
疝,腹股沟/全腹膜外/疝修补术/腹腔镜检查/单点固定Key words
Hernia/inguinal/Totally extraperitoneal/Herniorrhaphy/Laparoscopy/Single-point fixation分类
医药卫生
