Clinical experience of laparoscopic totally extraperitoneal repair for inguinal hernia

doi:10.3877/cma.j.issn.1674-392X.2018.04.014

Abstract

Abstract:

Objective

To summarize the efficacy and experience of laparoscopic?totally extraperitoneal (TEP) repair of inguinal hernia.

Methods

The clinical data of adult inguinal hernia underwent TEP in Zhongsan city hospital of TCM from December 2012 to December 2016 were reviewed.

Results

TEP was performed in 737 patients. Among them, 12 cases of incarcerated hernia were reduced with small incision at the inner ring and then TEP was performed. The operation time was (46±20) minutes, 15 cases were placed drainage tube after operation, the hospital stay was 4 to 6 days. Postoperative scrotal emphysema occurred in 3 cases, and 6 patients developed seroma and scrotal hematoma. After 11-59 months of follow-up, 2 cases recurred.

Conclusion

TEP is a safe and effective procedure for the treatment of inguinal hernia. The postoperative recurrence rate is low and the recovery is fast. TEP is the first choice for the treatment of inguinal hernia at present.

Key words: Hernia, inguinal, Herniorrhaphy, Laparoscopic, Totally extraperitoneal hernia repair

Haisheng Chen, Xuefeng Zhang, Wei Li, Weiwei Song. Clinical experience of laparoscopic totally extraperitoneal repair for inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2018, 12(04): 290-292.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2018.04.014

https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2018/V12/I04/290

References 14

[1]	程若川, 刁畅. 从解剖和力学原理浅谈腹股沟疝修补术理念的转变[J/CD]. 中华疝和腹壁外科杂志(电子版), 2015, 4(2): 178-181.
[2]	李健文, 郑民华. 腹腔镜腹股沟疝的操作要点[J]. 外科理论与实践, 2008, 13(6): 516-517.
[3]	梁魏海. 腹腔镜下疝修补术在腹股沟疝中的临床应用价值[J/CD]. 中华疝和腹壁外科杂志(电子版), 2015, 9(5): 378-380.
[4]	李鹏, 赵维山, 李汝红, 等. 腹腔镜全腹膜外疝修补术与开放腹膜前疝修补术的临床对比分析[J/CD]. 中华疝和腹壁外科杂志(电子版), 2015, 9(6): 487-489.
[5]	邱晓峰, 康杰. 完全腹膜外疝修补与经腹膜前疝修补术对比分析[J/CD]. 中华疝和腹壁外科杂志(电子版), 2014, 8(4): 329-331.
[6]	葛永祥, 刘庆宏. n-TEP和TIPP术后腹股沟疝患者生活质量的对比研究[J/CD]. 中华疝和腹壁外科杂志(电子版), 2015, 9(5): 439-441.
[7]	余招焱, 丁杰, 杨晓飞, 等. 腹腔镜完全腹膜外疝修补术53例应用体会[J/CD]. 中华疝和腹壁外科杂志(电子版), 2015, 9(6): 521-523.
[8]	孙惠军. 女性腹股沟斜疝的圆韧带与疝囊关系分型和处理[J/CD]. 中华疝和腹壁外科杂志(电子版), 2014, 8(4): 377.
[9]	辜树勇, 沈映玲. 腹腔镜完全腹膜外疝修补术中聚丙烯3D补片应用的价值分析[J/CD]. 中华疝和腹壁外科杂志(电子版), 2015, 9(4): 323-326.
[10]	曹赣, 葛永祥, 田野, 等. 完全腹膜外疝修补术中辅助使用穿刺排气法治疗对侧隐匿疝的临床价值[J/CD]. 中华疝和腹壁外科杂志(电子版), 2015, 9(1): 11-12.
[11]	邰沁文, 张金辉. 腹腔镜腹股沟疝修补术并发症的防治(附124例)[J/CD]. 中华疝和腹壁外科杂志(电子版), 2011, 5(3): 337-342.
[12]	管建松, 戎祯祥. 腹腔镜下完全腹膜外腹股沟疝修补术学习曲线[J/CD]. 中华疝和腹壁外科杂志(电子版), 2112, 6(4): 943-946.
[13]	许邦文, 贺登峰, 霍宗红, 等. 腹茬镜完全腹膜外癌修补治疗腹股沟癌260侠报告[J/CD]. 中华腔镜外科杂志(电子版), 2012, 5(4): 307-310.
[14]	张练, 和华. 腹腔镜完全腹膜外腹股沟疝修补术72例报告[J/CD]. 中华疝和腹壁外科杂志(电子版), 2012, 6(1): 546-550.

[1]	Liuqing Li, Xiaoxiang Chen, Chengyu Lv. Comparison of total laparoscopic and laparoscopic assisted radical gastrectomy in the treatment of advanced gastric cancer in the near and medium term [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(01): 23-26.
[2]	Bo Li, Pengbo Jia, Dong Li, Xiaoqing Li. Effect of ERCP and LCBDE on acute severe cholangitis secondary to choledocholithiasis [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(01): 60-63.
[3]	Mei Tang, Li Zhou, Cenyue Niu, Xiaotong Zhou, Qian Wang. Clinical significance of ICG fluorescence guided laparoscopic hepatectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(06): 655-658.
[4]	Xing Wang, Yanghui Wen, Gebing Yao, Pingxue Guo, Zihua Yang. Clinical application of ICG fluorescence laparoscopic cholecystectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(06): 663-666.
[5]	Chanjuan Kang, Haitao Zhang, Jingjie Zhai. Effect of pancreatic duct stent implantation in the treatment of acute biliary pancreatitis and its influence on liver function and levels of inflammatory factors [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(06): 667-670.
[6]	Pan Chi, Shenghui Huang. The tremendous progress in laparoscopic radical surgery for rectal cancer over the past three decades in China [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(06): 596-600.
[7]	Xi Gu, Ziyu Xu, Shu Zhou, Wulou Zhang, Yepeng Zhang, Hao Lin, Zonghang Liu, Zhengling Ji, Lifeng Zheng. Mesh infection after tension-free preperitoneal inguinal hernia repair: A report of 10 cases [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(06): 665-669.
[8]	Junfeng Song, Zhenzhen Zhang. Evaluation of the effect of intraoperative fixation of the residual hernia sac in the lower rectus abdominis margin during laparoscopic transabdominal preperitoneal hernia repair in elderly patients with unilateral primary indirect inguinal hernia [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(06): 670-674.
[9]	Juan Gao, Jianqing Xu, Fang Yan, Shenghua Ding, Xia Liu. Clinical effects of Rutkow, TAPP, and TEP in the treatment of patients with unilateral inguinal hernia and their impact on serum inflammatory factor levels [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(06): 675-680.
[10]	Xinfeng Yu, Qi Zeng, Qiang Hou, Hao Xu, Xiefang Cao. Analysis of laparoscopic trans-abdominal preperitoneal hernia repair and laparoscopic totally extra-peritoneal hernia repair on efficacy and prognosis of inguinal hernia in adults [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(06): 681-686.
[11]	Chuanfu Ren, Zhi Yang, En Xu, Ziyun He, Banxin Luo, Xin Chen, Xuefeng Xia. Laparoscopic hernia repair with fundoplication for hiatal hernia with gastroesophageal reflux disease:A clinical analysis of 40 patients [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(05): 507-511.
[12]	Yan Zhou, Ying Li, Xiaobing Zhou, Fahui Cheng, Hengzheng He. Efficacy of different types of mesh combined with Nissen fundoplication for repairing hiatal hernia and potential risk factors for recurrence [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(05): 528-533.
[13]	Lei Zhang, Chao Peng, Yingfang Zhou. The laparoscopic surgical techniques for recto-vaginal septum endometriosis [J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2024, 17(05): 257-261.
[14]	Zongming Zhang, Jiahong Dong, Xiaodong He, Qiusheng Wang, Zhi Xu, Limin Liu, Chong Zhang. Controversy and reflection on hot issues of biliary surgery in elderly patients [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2024, 13(06): 754-762.
[15]	Wenfeng Zhuo, Guifang Zeng, Sijia Yang, Jiali Zhao, Baojia Zou, Zirui Bai, En Lin, Jian Li. Laparoscopic megasplenectomy: gradually overcoming surgical barriers [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2024, 13(06): 783-788.

Please choose a citation manager

Content to export