Laparoscopic unilateral recurrent inguinal hernia repair: A clinical analysis of 123 cases

doi:10.3877/cma.j.issn.1674-392X.2019.05.005

Abstract

Abstract:

Objective

To analyze and discuss the clinical experience of 123 cases of laparoscopic unilateral recurrent inguinal hernia repair.

Methods

Clinical and follow-up data of 123 patients with unilateral recurrent inguinal hernia undergoing laparoscopic operation in First affiliated Hospital of Fujian Medical University from January 2009 to January 2019 were analyzed retrospectively. There were 107 male and 16 female patients, and their average age were 63 years old. The clinical outcome of laparoscopic recurrent inguinal hernia repair was evaluated by operative time, converting to open operation, injury during operation, pain score on the first day after operation, postoperative hospital stay, and postoperative complication.

Results

There were 123 cases of unilateral recurrent inguinal repair, including 54 cases of laparoscopic totally extra-peritoneal (TEP), 59 cases of laparoscopic trans-abdominal preperitoneal hernia repair (TAPP), and 10 cases of intraperitoneal onlay mesh (IPOM). Among the 123 patients, the average operative time was (50.68±9.46)minutes, the visual analogue pain score on postoperative day1 was (2.19±1.76)scores, and the postoperative hospital stay was (2.25±1.40)days. There were 12 cases (9.76%) of postoperative complications, all discharged eventually by treatment. All patients had no recurrence in the follow-up time.

Conclusion

Both three laparoscopic operation (TEP, TAPP and IPOM) are safe and effective to treat unilateral recurrent inguinal hernia, can be carried out in suitable medical centers.

Key words: Hernia, inguinal, Herniorrhaphy, Laparoscopes, Recurrence, Unilateral, Postoperative complication

Guozhong Liu, Shangeng Weng, Yuhai Hu, Yiping Chen, Jianbin Zhang, Chunzhong Lin. Laparoscopic unilateral recurrent inguinal hernia repair: A clinical analysis of 123 cases[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(05): 404-407.

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References 18

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既往采用术式	平均手术时间	手术时间
既往采用术式	平均手术时间	TEP	TAPP	IPOM
组织对组织缝合无使用补片修补术	42.17±3.97	40.06±2.03	47.38±2.40	-
腹横筋膜前放置平面补片修补术	46.61±4.05	43.00±1.89	50.00±2.03	-
腹横筋膜前后网塞补片修补术	61.71±3.05	65.00±1.58	62.00±2.06	55.75±0.95
腹横筋膜后腹膜前补片修补术	60.91±3.55	61.00±1.89	65.25±0.95	58.00±1.41

既往采用术式	平均手术时间	手术时间
既往采用术式	平均手术时间	TEP	TAPP	IPOM
组织对组织缝合无使用补片修补术	42.17±3.97	40.06±2.03	47.38±2.40	-
腹横筋膜前放置平面补片修补术	46.61±4.05	43.00±1.89	50.00±2.03	-
腹横筋膜前后网塞补片修补术	61.71±3.05	65.00±1.58	62.00±2.06	55.75±0.95
腹横筋膜后腹膜前补片修补术	60.91±3.55	61.00±1.89	65.25±0.95	58.00±1.41

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