中国实用外科杂志2017，Vol.37Issue(8)：907-910,4.DOI:10.19538/j.cjps.issn1005-2208.2017.08.19
自制直针三尾免打结缝线在TAPP腹膜缝合的应用研究
Application of straight needle three-tail non-kontting suture in peritoneal closure in transabdominal preperitoneal inguinal hernia repair
周太成 1于洪燕 1江志鹏 1李英儒 1马宁 1陈文豪 1侯泽辉 1陈双1
作者信息
- 1. 中山大学附属第六医院胃肠、疝和腹壁外科广东省结直肠盆底疾病研究重点实验室,广东广州 510655
- 折叠
摘要
Abstract
Objective To investigate efficiency of straight needle three-tail non-kontting suture in peritoneal closure in transabdominal preperitoneal inguinal hernia repair (TAPP). Methods A total of 238 patients with inguinal hernia performed TAPP in the Sixth Affiliated Hospital of Sun Yat-sen University between December, 2013 and December, 2015 were enrolled into the study, including 120 patients in control group with traditional suture and 118 patients in experiment group with straight needle three-tail non-kontting suture. All the patients received TAPP operation under general anaesthesia. The difference between tow groups were compared in age, gender, BMI, hernia type, defective area, hernia sac handling, operative time, peritoneal closure time, hospitalization cost, postoperative complications, VAS score and recurrence rate. Results The mean operative time was(44.8 ± 2.7)min for experimental group and(50.3 ± 3.1)min for control group(t=7.243,P=0.025). The mean peritoneal closure time was(4.2 ± 0.7)min for experimental group and (9.8±1.1)min for control group(t=9.833,P=0.010). The mean cost was(8927.4±135.2)yuan for experimental group and (9232.5 ± 159.8)yuan for control group(t =4.782,P=0.041). There was no difference in mesh infection(P=0.759), recurrence(P=0.759), seroma(P=0.899)and VAS score(P=0.375)between two groups. Conclusion Compared with traditional method, straight needle three-tail non-kontting suture could reduce operative cost as well as shorten operative and peritoneal closure time, without increasing postoperative complications, pain and recurrence.关键词
腹腔镜/腹膜缝合/经腹腔腹膜前疝修补术Key words
laparoscope/peritoneal closure/transabdominal preperitoneal inguinal hernia repair分类
医药卫生引用本文复制引用
周太成,于洪燕,江志鹏,李英儒,马宁,陈文豪,侯泽辉,陈双..自制直针三尾免打结缝线在TAPP腹膜缝合的应用研究[J].中国实用外科杂志,2017,37(8):907-910,4.
