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《Journal of Abdominal Surgery》 2018-04
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Clinical analysis of totally extra-peritoneal laparoscopic inguinal hernia repair with single point patch-fixation through inner ring

Zhong Chunlin;Zhao Pingwu;Wang Dachuan;Liu Wen;Yu Yingjuan;Deng Zhigang;Department of General Surgery,Mianyang Central Hospital;  
Objective To explore the feasibility and applicability of totally extra-peritoneal laparoscopic(TEP)inguinal hernia repair with single point patch-fixation through inner ring.Methods A retrospective analysis was conducted over January 2013 to December 2016 on115 patients who accepted the TEP inguinal hernia repair with single point patch-fixation through inner ring.The operational time,postoperative pain,gastrointestinal function recovery time,the bedside movement time,and the incidence of postoperative complications were noted.Results All the patients were performed successfully except one patient converted to open operation The mean operational time was 48 min(36-70 min),the gastrointestinal function recovery time was(12.3±4.0)h,the bedside movement time was(18.0±3.8)h,and the hospital stay was 2.8 days.The postoperative complications occurred in12 cases with an incidence of 10.6%.Of all,chronic groin pain occurred in 2 cases,and the incidence was1.7%;scrotal hydrocele was found in 3 case,and the incidence was 2.6%;the postoperative urinary retention was observed in 4 cases,and the incidence was 3.4%;subcutaneous haematoma was observed in 1 case with the incidence was 0.8%;foreign body sensation in groin area can be identified in2 cases,and the incidence was 1.7%.The patients were followed up for 12 to 55 months,and no recurrence occurred.Conclusions The method of TEP laparoscopic inguinal hernia repair with single point patch-fixation through inner ring is safe and feasible,simple,as well as being economical and practical.It is well worth of clinical application.
【Fund】: 四川省科技厅科技支撑计划项目(2015SZ0090)
【CateGory Index】: R656.21
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