Application of ligation on false hernia sac with the snare in totally extraperitoneal inguinal hernia repair

doi:10.3877/cma.j.issn.1674-392X.2019.06.009

Abstract

Abstract:

Objective

To explore the clinical effect of the ligation on the false hernia sac with the snare in TEP.

Methods

From August 2014 to August 2017, 65 cases of direct inguinal hernia patients in the First People's Hospital of Xiang Tan were randomly divided into the ligation group (n=33) and the putting-aside group (n=32). Blood loss volume, operative time, length of hospitalization and complications were compared between the two groups.

Results

In the ligation group, the incidence of postoperative seroma was significantly lower than that in the putting-aside group (P<0.01); Blood loss volume, operative time, length of hospitalization of the two groups had no statistically significant difference (P>0.05). There was no recurrence.

Conclusion

Ligation on the false hernia sac with the snare in TEP is a safe approach, can increase the incidence of postoperative seroma.

Key words: Hernia, inguinal, Herniorrhaphy, Laparoscopes, False hernia sac, Ligation, Seromas

Jun Tang, Jie Tang, Kaixiang Xie, Taorui Tian. Application of ligation on false hernia sac with the snare in totally extraperitoneal inguinal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(06): 519-521.

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URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2019.06.009

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Figures/Tables 2

References 15

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组别	例数	性别(例)		平均年龄(岁, ±s)	体质量指数(kg/m², ±s)	腹股沟直疝(例)				腹股沟直疝(例)
组别	例数	男性	女性	平均年龄(岁, ±s)	体质量指数(kg/m², ±s)	Ⅰ型	Ⅱ型	Ⅲ型	Ⅳ型	单侧	双侧
试验组	33	30	3	61.1±6.3	25.1±4.0	5	10	10	8	30	3
对照组	32	30	2	59.2±5.4	24.8±5.6	6	9	8	9	29	3

组别	例数	性别(例)		平均年龄(岁, ±s)	体质量指数(kg/m², ±s)	腹股沟直疝(例)				腹股沟直疝(例)
组别	例数	男性	女性	平均年龄(岁, ±s)	体质量指数(kg/m², ±s)	Ⅰ型	Ⅱ型	Ⅲ型	Ⅳ型	单侧	双侧
试验组	33	30	3	61.1±6.3	25.1±4.0	5	10	10	8	30	3
对照组	32	30	2	59.2±5.4	24.8±5.6	6	9	8	9	29	3

组别	例数	手术时间(min, ±s)	术中出血量(ml, ±s)	住院时间(d, ±s)	血清肿[例(%)]
试验组	33	50.4±10.7	5.0±0.5	6.0±1.5	0
对照组	32	47.0±9.6	4.0±0.5	7.0±1.2	8(24.2)
检验值	?	0.77	1.43	0.78	9.4
P值	?	0.44	0.15	0.44	<0.01

组别	例数	手术时间(min, ±s)	术中出血量(ml, ±s)	住院时间(d, ±s)	血清肿[例(%)]
试验组	33	50.4±10.7	5.0±0.5	6.0±1.5	0
对照组	32	47.0±9.6	4.0±0.5	7.0±1.2	8(24.2)
检验值	?	0.77	1.43	0.78	9.4
P值	?	0.44	0.15	0.44	<0.01

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