Abstract:
Objective
To investigate the feasibility and safety of laparoscopic repair for primary suprapubic hernias.
Methods
The clinical data of 7 patients who underwent laparoscopic inguinal hernia repair and diagnosed with primary suprapubic hernias from January 2021 to January 2024 in the Department of General Surgery, the 991st Hospital of Joint Logistic Support Force of PLA were analyzed retrospectively.
Results
There were 6 males and 1 female in the study. Average age was (71.57±9.33)years. Body mass index ranged 17.48～24.61 kg/m2, average (21.75±2.23) kg/m2. Prior to surgery, all patients were diagnosed as inguinal hernia by color Doppler ultrasonography, including left-sided inguinal hernia in 1 case who had a history of right-sided inguinal hernia repair. There were 6 cases of right-sided inguinal hernia, of which one case had history of right-sided inguinal hernia repair, 2 cases had history of left-sided inguinal hernia repair, 1 case had history of appendectomy and 1 case had history of right-sided inguinal hernia repair and appendectomy. All the 7 patients underwent successful surgery, including 5 cases with laparoscopic totally extra-peritoneal hernia repair (TEP), and 1 of which was converted to laparoscopic trans-abdominal preperitoneal hernia repair (TAPP), the other 2 cases received TAPP. The average defect size was 2.0±0.29cm. No intestinal canal, blood vessel, spermatic cord, or vas deferens damage occurred during operation. The mean operative time was (127.14±24.30) min, the mean intraoperative blood loss was (5.29±2.36) ml. No intestinal obstruction, wound infection, temporary neurological feeling abnormality or ischemic orchitis occurred postoperatively. The postoperative hospital stay was 2-4 days, with a median time of 3 days. Postoperative seroma formation occurred in 1 case, who was cured by puncture and aspiration. All cases were followed up for 2-36 months, with a median time of 24 months. There was no recurrence or chronic pain.
Conclusion
Laparoscopic hernia repair is safe and feasible in the treatment of primary suprapubic hernia.
Key words:
Suprapubic hernia,
Primary,
Totally extra-peritoneal hernia repair,
Trans-abdominal preperitoneal hernia repair,
Laparoscopes
Jinshui Chen, Jinfu Chen, Kaifu Zheng, Xiaolu Zhu, Tiehu Wang, Jun Tan, Zhengping Li. Laparoscopic repair for primary suprapubic hernias: clinical experience of 7 cases[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(05): 548-551.