中国现代手术学杂志2017，Vol.21Issue(1)：18-21,4.DOI:10.16260/j.cnki.1009-2188.2017.01.005
腹腔镜经腹腹膜前修补术及全腹膜外疝修补术治疗复发性腹股沟疝比较
Comparison of Laparoscopic Transabdominal Preperitoneal Prothetic Repair and Total Extraperitoneal Hernia Repair for Recurrent Inguinal Hernia
李继勇 1罗琦 2王满贞1
作者信息
- 1. 湖北省武汉市黄陂区人民医院普外科,武汉430300
- 2. 湖北省武汉市黄陂区人民医院西药剂科,武汉430300
- 折叠
摘要
Abstract
Objective To discuss the clinical effect of laparoscopic transabdominal preperitoneal prothetic hernia repair and total extraperitonoal hernia repair in the treatment of recurrent inguinal hernia.Methods From January 2013 to June 2015,a total of 80 patients with recurrent inguinal hernia were enrolled in the research.All patients were divided into two groups according to different surgical procedures:The observation group (n =44) were performed laparoscopic transabdominal preperitoneal prethetic hernia repair,and the control group (n =36) were treated by laparoscopic total extraperitoneal hernia repair.The peri-operative results,VAS score of post-operative pain and complication incidence were compared between two groups.Results There were no statistical difference in the operation time,postoperative out-off-bed activity time,hospitalization time and postoperative VAS score between two groups (P ＞ 0.05).The operation cost of the observation group was significantly higher than that of the control group,the difference was statistical (P ＜ 0.05).The post-operative complication rate was 13.64％ in the observation group and 11.11％ in the control group,there was no statistical difference between two groups(P ＞ 0.05).All patients were followed up for 12 months,and no one was found relapse in both groups.Conclusion Both laparoscopic transabdominal preperitoneal hernia repair and total extraperitoneal herniorrhaphy can achieve effect safe and result for recurrent inguinal hernia,and the individuation surgical procedure would be formulated according to the previous surgical procedure of herniorrhaphy.关键词
疝,腹股沟/复发疝/经腹腹膜前疝修补术/全腹膜外疝修补术/腹腔镜检查Key words
hernia/inguinal/recurrent hernia/transabdominal preperitoneal hernia repair/total extraperitoneal hernia repair/laparoscopy分类
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李继勇,罗琦,王满贞..腹腔镜经腹腹膜前修补术及全腹膜外疝修补术治疗复发性腹股沟疝比较[J].中国现代手术学杂志,2017,21(1):18-21,4.
