腹腔镜外科杂志2026，Vol.31Issue(3)：193-197,201,6.DOI:10.13499/j.cnki.fqjwkzz.2026.03.193
腹腔镜斜疝修补术中内环口关闭对术后血清肿的影响
Impact of internal ring closure on postoperative seroma in laparoscopic indirect inguinal hernia repair
赵东涛 1刘曙光 2宋逸 3李兆 3祝京睿 3郭栋 3陈栋 3李宇3
作者信息
- 1. 莒南县人民医院胃肠小儿外科,山东 临沂,276600
- 2. 单县东大医院胃肠外科
- 3. 青岛大学附属医院胃肠外科
- 折叠
摘要
Abstract
Objective:To evaluate the effect of internal ring closure on postoperative seroma in laparoscopic transabdominal preperitoneal hernioplasty(TAPP),and to compare it with TAPP without internal ring closure,in order to explore the advantage of in-ternal ring closure in preventing postoperative seroma.Methods:A total of 350 patients with indirect inguinal hernia who underwent laparoscopic TAPP from Jan.2023 to Jan.2025 were selected retrospectively.After screening,300 patients were included in the retro-spective cohort study,and they were divided into the internal ring closure group(n=100)and the non-closure group(n=200)accor-ding to the surgical method.Surgical time,intraoperative blood loss,postoperative hospital stay,postoperative 24 h visual analogue scale pain score,postoperative seroma incidence,and recurrence rate within 6 months after operation were compared and analyzed between the two groups.Results:All operations in both groups were successfully completed without conversion to open surgery.There were no statis-tically significant differences between the two groups in surgical time,intraoperative blood loss,or postoperative hospital stay(P>0.05).The incidence of postoperative seroma in the closure group was lower than that in the non-closure group,and the difference was statistically significant(P<0.05).During the6-month follow-up after operation,no recurrence occurred in either group.Conclusions:Internal ring closure in laparoscopic TAPP for indirect inguinal hernia is safe and effective,and can reduce the incidence of postopera-tive seroma.关键词
疝,腹股沟/经腹腹膜前疝修补术/腹腔镜检查/血清肿Key words
Hernia,inguinal/Transabdominal preperitoneal hernioplasty/Laparoscopy/Seroma分类
医药卫生引用本文复制引用
赵东涛,刘曙光,宋逸,李兆,祝京睿,郭栋,陈栋,李宇..腹腔镜斜疝修补术中内环口关闭对术后血清肿的影响[J].腹腔镜外科杂志,2026,31(3):193-197,201,6.
