Clinical comparison of laparoscopic totally extraperitoneal and tranabdominal preperitoneal inguinal hernia repair

doi:10.3877/cma.j.issn.1674-392X.2018.02.012

Abstract

Abstract:

Objective

To investigate the clinical effect of laparoscopic totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) inguinal hernia repair.

Methods

68 patients underwent laparoscopic inguinal hernia repair in Shenzhen Guangming New District People's Hospital were enrolled from January 2014 to January 2016. The patients were randomly divided into observation group and control group, and 34 cases in each group. The patients in the observation group were treated with TEP repair, and the patients in the control group was treated with TAPP repair. The patients were followed up for 6 to 18 months. The hospitalization time, the postoperative pain, the complications and recurrence between the two groups were compared.

Results

The duration of anal exhaust time, hospital stay and postoperative pain were significantly lower in the observation group than in the control group (t=7.83, 6.16, 11.11; P<0.05). There was no significant difference between the incidence of complications and the recurrence rate of inguinal hernia (χ²=0.77, 0.57; P=0.38, 0.45).

Conclusion

TEP can further shorten the postoperative pain time and hospitalization time compared with TAPP. However, TEP has a high requirement for surgeons, and it needs to be further promoted.

Key words: Hernia, inguinal, Herniorrhaphy, Laparoscopes

Xinquan Huang, Yong Xiong, Jindu Zhou, Gang Ren, Yazhai Chen. Clinical comparison of laparoscopic totally extraperitoneal and tranabdominal preperitoneal inguinal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2018, 12(02): 127-130.

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URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2018.02.012

https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2018/V12/I02/127

Figures/Tables 2

References 15

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组别	例数	手术时间(min)	出院时间(d)	术后疼痛时间(h)	术后首次肛门排气时间(h)
观察组	34	55.45±4.32	4.64±1.23	24.59±4.32	18.34±3.45
对照组	34	66.39±5.89	6.76±1.98	35.18±4.81	25.34±4.98
t值	?	10.16	6.16	11.11	7.83
P	?	<0.05	<0.05	<0.05	<0.05

组别	例数	手术时间(min)	出院时间(d)	术后疼痛时间(h)	术后首次肛门排气时间(h)
观察组	34	55.45±4.32	4.64±1.23	24.59±4.32	18.34±3.45
对照组	34	66.39±5.89	6.76±1.98	35.18±4.81	25.34±4.98
t值	?	10.16	6.16	11.11	7.83
P	?	<0.05	<0.05	<0.05	<0.05

组别	例数	血清肿	阴囊积液	尿潴留	腹股沟神经反射异常	肠管麻痹	并发症发生率(%)	复发率(%)
观察组	34	2	1	2	1	0	17.65	8.82
对照组	34	3	2	1	2	1	26.47	14.71
χ²值	?	0.38	1.34	1.34	3.06	1.23	0.77	0.57
P值	?	0.55	0.31	0.31	0.11	0.56	0.38	0.45

组别	例数	血清肿	阴囊积液	尿潴留	腹股沟神经反射异常	肠管麻痹	并发症发生率(%)	复发率(%)
观察组	34	2	1	2	1	0	17.65	8.82
对照组	34	3	2	1	2	1	26.47	14.71
χ²值	?	0.38	1.34	1.34	3.06	1.23	0.77	0.57
P值	?	0.55	0.31	0.31	0.11	0.56	0.38	0.45

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