腹腔镜外科杂志2017，Vol.22Issue(12)：949-951,3.DOI:10.13499/j.cnki.fqjwkzz.2017.12.949
腹腔镜全腹膜外疝修补术治疗腹股沟复发疝的临床分析(附47例报告)
Clinical analysis of laparoscopic totally extraperitoneal repair for treating recurrent inguinal hernia in 47 cases
马锐 1蒋会勇 1郭一君 1王洪洋 1张雪峰1
作者信息
- 1. 中国人民解放军沈阳军区总医院,辽宁 沈阳,110016
- 折叠
摘要
Abstract
Objective:To summarize the surgical techniques and to explore the effect of laparoscopic totally extraperitoneal re-pair (TEP) in the treatment of recurrent inguinal hernia. Methods:The clinical data of 47 patients who underwent laparoscopic TEP for the recurrent inguinal hernia from Feb. 2014 to Jan. 2017 were retrospectively analyzed. Results:All 47 operations were completed suc-cessfully and none was converted to open surgery. The operative time was (62. 7±13. 4) min,the intraoperative blood loss was (8. 6±3. 2) ml. The complications occurred in 10 cases,including subcutaneous emphysema in 4 cases,seroma in 5 cases and acute urinary re-tention in 1 case,all these cases were cured by conservative therapies. No recurrence,persistent pain,foreign body sensation,mesh in-fection or incision infection were found during follow-up. Conclusions:TEP for the treatment of recurrent inguinal hernia is safe,feasible and effective and also avoids the shortcomings of laparoscopic transabdominal preperitoneal repair and intraperitoneal onlay mesh. How-ever,the TEP operation has higher demands for the surgeon,who needs to have a good command of the technical points of inguinal anat-omy,laparoscopic technique and the treatment of recurrent hernia so as to give full play to the advantages of TEP and achieve the best therapeutic effects.关键词
疝,腹股沟/复发疝/腹腔镜检查/疝修补术/全腹膜外Key words
Hernia,inguinal/Recurrent hernia/Laparoscopy/Herniorrhaphy/Totally extraperitoneal分类
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马锐,蒋会勇,郭一君,王洪洋,张雪峰..腹腔镜全腹膜外疝修补术治疗腹股沟复发疝的临床分析(附47例报告)[J].腹腔镜外科杂志,2017,22(12):949-951,3.
