Abstract:
Objective To explore the application of membrane anatomy TEP in the treatment of inguinal hernia.
Methods Between January 2016 and December 2019, a retrospective study in Nanfang Hospital and Red Cross Hospital was conducted on 311 cases of primary inguinal hernia patients who were assigned into two groups, standard TEP group (n=169) and membrane anatomy TEP (n=142). Intraoperative data (inferior epigastric vessels injury, bladder surface vessels injury, reproductive blood vessels injury, vas deferens injury, peritoneum breakage), and long term postoperative data such as recurrence rate were compared.
Results Compared with the standard TEP group, the membrane anatomy TEP group had less inferior epigastric vessels injury, less bladder surface vessels injury and less peritoneum breakage rate (P<0.05). There were no statistically significant differences between two groups about reproductive blood vessels injury, vas deferens injury and recurrence rate (P<0.05).
Conclusion As compared with standard TEP, membrane anatomy TEP has fewer vessels injury and peritoneum breakage. It is a better method for inguinal hernia patients.
Key words:
Hernia, inguinal,
Laparoscopy,
Anatomy,
Herniorrhaphy,
Postoperative complications
Jingqing Dong. Application of membrane anatomy TEP in treatment of inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(05): 472-475.