Laparoscopic surgery strategy for recurrent inguinal hernia and the observation of therapeutic effects

doi:10.3877/cma.j.issn.1674-392X.2023.05.009

Abstract

Abstract:

Objective

To explore and analyze the reoperation methods for patients with recurrent inguinal hernia and summarize clinical treatment experience and key points of laparoscopic surgery.

Methods

We conducted a retrospective analysis of the clinical data of 52 patients with recurrent inguinal hernia admitted to the First Affiliated Hospital of Xi'an Jiaotong University from 2019 to 2021. According to the different initial surgical methods, they were divided into three categories: recurrence after open hernia repair, recurrence after laparoscopic hernia repair, and recurrence after other treatments.

Results

According to the different initial surgical methods of the patients, a personalized strategy for recurrent hernia surgery was implemented in 52 patients, including 42 cases of laparoscopic hernia repair and 10 cases of open hernia repair. The surgical time was (65.1±19.8) minutes, and the hospital stay was (5.9±1.9) days. One patient who underwent open hernia repair experienced recurrence within one year after surgery, and two patients developed symptomatic seroma after surgery.

Conclusion

Laparoscopy can better explore the situation of recurrent inguinal hernia, and its treatment is safe and effective. For the vast majority of recurrent inguinal hernia patients, laparoscopic surgery at experienced hernia centers is a safe and effective surgical method.

Key words: Hernia, inguinal, Recurrence, Laparoscope, Surgical strategy, Individualized treatment

Zhengdong Jiang, Xuqi Li, Shufeng Wang, Guangbing Wei. Laparoscopic surgery strategy for recurrent inguinal hernia and the observation of therapeutic effects[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(05): 539-543.

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URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2023.05.009

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References 21

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初次手术方式	例数	性别		年龄(岁,±s)	复发时间(年,±s)	再次手术方式		手术时间(min,±s)	住院天数(d,±s)	并发症	术后1年内疝复发
初次手术方式	例数	男性	女性	年龄(岁,±s)	复发时间(年,±s)	腹腔镜	开放	手术时间(min,±s)	住院天数(d,±s)	并发症	术后1年内疝复发
开放疝修补术
张力缝合修补术	10	10(100.00)	0	64.9± 8.8	3~50	5( 50.00)	5(50.00)	54.0± 6.1	5.9±0.9	伤口感染1(10.00)	0
Lichtenstein	26	25( 96.15)	1( 3.85)	63.7±11.0	1个月~22	23( 88.46)	3(11.54)	67.6±23.6	7.1±2.6	血清肿1( 3.85)	1(3.85)
疝囊高位结扎	7	6( 85.71)	1(14.29)	42.7±16.2	3~60	6( 85.71)	1(14.29)	60.3±16.3	4.6±1.4	0	0
平片+网塞	2	2(100.00)	0	70.5±14.9	7~10	2(100.00)	0	82.5± 6.4	7.0±1.4	0	0
M-K修补术	2	2(100.00)	0	71.0±12.7	6~10	2(100.00)	0	92.5± 7.8	6.5±2.1	0	0
腹腔镜疝修补术	4	4(100.00)	0	68.5± 9.2	3~ 8	3( 75.00)	1(25.00)	102.5±39.9	5.5±0.7	血清肿1(25.00)	0
其他(硬化剂注射)	1	1(100.00)	0	62	5	1(100.00)	0	65	7	0	0

初次手术方式	例数	性别		年龄(岁,±s)	复发时间(年,±s)	再次手术方式		手术时间(min,±s)	住院天数(d,±s)	并发症	术后1年内疝复发
初次手术方式	例数	男性	女性	年龄(岁,±s)	复发时间(年,±s)	腹腔镜	开放	手术时间(min,±s)	住院天数(d,±s)	并发症	术后1年内疝复发
开放疝修补术
张力缝合修补术	10	10(100.00)	0	64.9± 8.8	3~50	5( 50.00)	5(50.00)	54.0± 6.1	5.9±0.9	伤口感染1(10.00)	0
Lichtenstein	26	25( 96.15)	1( 3.85)	63.7±11.0	1个月~22	23( 88.46)	3(11.54)	67.6±23.6	7.1±2.6	血清肿1( 3.85)	1(3.85)
疝囊高位结扎	7	6( 85.71)	1(14.29)	42.7±16.2	3~60	6( 85.71)	1(14.29)	60.3±16.3	4.6±1.4	0	0
平片+网塞	2	2(100.00)	0	70.5±14.9	7~10	2(100.00)	0	82.5± 6.4	7.0±1.4	0	0
M-K修补术	2	2(100.00)	0	71.0±12.7	6~10	2(100.00)	0	92.5± 7.8	6.5±2.1	0	0
腹腔镜疝修补术	4	4(100.00)	0	68.5± 9.2	3~ 8	3( 75.00)	1(25.00)	102.5±39.9	5.5±0.7	血清肿1(25.00)	0
其他(硬化剂注射)	1	1(100.00)	0	62	5	1(100.00)	0	65	7	0	0

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