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中华疝和腹壁外科杂志(电子版)

中华疝和腹壁外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (06) : 687 -690. doi: 10.3877/cma.j.issn.1674-392X.2022.06.017

临床论著

腹腔镜经腹腹膜前修补术在复发性腹股沟疝的应用
尹伯瞻1, 张浩然1, 尹卫民1,†()   
  1. 1. 210008　南京大学医学院附属鼓楼医院普外科
  • 收稿日期:2022-03-30 出版日期:2022-12-18
  • 通信作者: 尹卫民

Application of laparoscopic transabdominal preperitoneal hernia repair in recurrent inguinal hernia

Bozhan Yin1, Haoran Zhang1, Weimin Yin1,†()   

  1. 1. Department of General Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
  • Received:2022-03-30 Published:2022-12-18
  • Corresponding author: Weimin Yin
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尹伯瞻, 张浩然, 尹卫民. 腹腔镜经腹腹膜前修补术在复发性腹股沟疝的应用[J]. 中华疝和腹壁外科杂志(电子版), 2022, 16(06): 687-690.

Bozhan Yin, Haoran Zhang, Weimin Yin. Application of laparoscopic transabdominal preperitoneal hernia repair in recurrent inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(06): 687-690.

目的

探讨复发性腹股沟疝应用腹腔镜经腹腹膜前修补手术（TAPP）的安全性及治疗效果。

方法

回顾性分析2019年1月至2021年6月南京大学医学院附属鼓楼医院采用TAPP术式治疗的52例患者资料，通过术中观察、有无中转及术后并发症（血清肿、术后疼痛）、术后留院时间等，分析复发原因及腹腔镜手术的临床效果。

结果

52例中原位复发18例（34.62%），新发34例（65.38%），TAPP术中转开放手术3例（5.77%），并发症发生5例（9.62%），无严重并发症发生，所有患者均顺利出院。

结论

腹腔镜下TAPP疝修补术应用于前入路腹股沟疝修补术后的复发疝是安全可靠的，具有可行性，仔细操作可以避免副损伤及其他严重并发症。

关键词: 疝，腹股沟, 复发, 腹腔镜, 疝修补术
Objective

To investigate the safety and efficacy of laparoscopic trans-abdominal preperitoneal hernia repair (TAPP) for recurrent inguinal hernia.

Methods

The data of 52 patients treated with TAPP in Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School from January 2019 to June 2021 were retrospectively analyzed. The causes of recurrence and the clinical effects of laparoscopic surgery were analyzed by intraoperative observation, presence or absence of conversion, postoperative complications (seroma, postoperative pain), and postoperative hospital stay.

Results

In 52 cases, 18 cases (34.62%) had recurrence in situ, and 34 cases (65.38%) had new recurrence. 3 cases (5.77%) who underwent TAPP were converted to open surgery. There were 5 cases (9.62%) of complications, with no serious complications. All patients were discharged successfully.

Conclusion

The application of TAPP hernia repair in recurrent hernia after anterior approach inguinal hernia repair is safe, reliable and feasible. Careful operation can avoid secondary injury and other serious complications.

Key words: Hernia, inguinal, Recurrence, Laparoscopes, Herniorrhaphy
表1 前次手术疝复发情况及手术方式[例（%）]
距前次手术时间(月) 例数 原位 遗留/新发 网塞及其他
0~3 9 6(66.7) 3(33.3) 2(22.2)
4~12 10 6(60.0) 4(40.0) 4(40.0)
13~60 8 2(25.0) 6(75.0) 4(50.0)
>60 25 4(16.0) 21(84.0) 9(36.0)
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