Abstract:
Objective To explore the practicability and safety of using finger-guided reverse puncture to establish the preperitoneal space in laparoscopic totally extra-peritoneal hernia repair (TEP).
Methods The clinical data of 261 inguinal hernia patients treated with TEP surgery and establishing of preperitoneal space by finger-guided reverse puncture in the General Hospital of Northern Theater Command from October 2016 to October 2019 were retrospective analyzed.
Results All 261 operations were successfully completed without conversion to open surgery, and the time for unilateral establishment of preperitoneal space was (6.5±2.5) min. Muscle bleeding occurred in 3 cases during reverse puncture, but the bleeding was stopped after compression hemostasis. There was no blood vessel injury under the abdominal wall, peritoneum injury, and abdominal organ injury. There was no local abdominal wall hematoma after operation.
Conclusion The establishment of preperitoneal space under the guidance of fingers in TEP can effectively avoid the injury of blood vessels under the abdominal wall, peritoneum and intraperitoneal tissue. The operation is safe, reliable and easy to master. The reverse puncture method to establish the preperitoneal space facilitated access to the correct level for operation.
Key words:
Hernia, inguinal,
Laparoscopes,
Herniorrhaphy,
Puncture method
Rui Ma, Cheng Zhang, Huiyong Jiang, Yijun Guo. Clinical analysis of establishing preperitoneal space by finger guided reverse puncture in laparoscopic totally extra-peritoneal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(05): 521-524.