腹腔镜经腹腔腹膜前疝修补术治疗腹股沟疝的效果

Abstract
Figure/Table
References (15)
Related Citation (11)

Download: PDF (0 KB) HTML (30 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the effect of laparoscopic transabdominal preperitoneal prosthetic (TAPP)on inguinal hernia.Methods From January 2016 to October 2017,100 patients with inguinal hernia treated in our hospital were selected as the subjects,and grouped according to different surgical methods.The control group (20 cases)were treated with traditional operation.TAPP group were treated with TAPP surgery,and TEP group were treated with TEP surgery.The operative time,postoperative autonomic activity time,postoperative observation time,postoperative pain at the wound site,intraoperative amount of bleeding,and the total incidence of scrotal edema,infection,and urinary retention were compared among the three groups.Results There was no significant difference in the operation time,postoperative autonomic activity time,postoperative observation time,postoperative pain at the wound site,or intraoperative amount of bleeding between TAPP and TEP groups(P＞0.05).The total incidence of scrotal edema,infection,and urinary retention were not displayed significant difference in the TAPP and TEP groups(P＞0.05).However,the above indicators in the TAPP and TEP groups were all better than those in the control group,the difference was statistically significant(P＜0.05).Conclusion The clinical application of laparoscopic TAPP obtains a definite effect at advantages of shorter operation time,smaller trauma compared with open surgery,reduce intraoperative bleeding and complications after surgery,and promote the postoperative recovery,which is tantamount to TEP surgery in efficacy.

Key words： Laparoscopic transabdominal preperitoneal prosthetic Clinical application effect Inguinal hernia

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	PENG Xiao-fei
	CHEN Xiang
	WEN Wei-zhong

Cite this article:

PENG Xiao-fei,CHEN Xiang,WEN Wei-zhong. Effect of laparoscopic transabdominal preperitoneal prosthetic on inguinal hernia[J]. 中国当代医药, 2018, 25(14): 35-37.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I14/35

[1]	张飞，李成华，王矛，等.无张力疝修补术与TAPP治疗腹股沟疝临床疗效观察[J].淮海医药，2016，34（1）：52-53.
[2]	Tromp WG，Van Den Heuvel B，Dwars BJ，et al.A new accurate method of physical examination for differentiation of inguinal hernia types[J].Surg Endosc，2014，28（5）：1460-1464.
[3]	杨威，金丹，金景平，等.腹腔镜疝修补术在腹股沟疝治疗中的效果分析[J].中国疗养医学，2016，25（1）：33-34.
[4]	廖伟明，磨鹏诗，高向林，等.腹腔镜下TAPP治疗腹股沟疝的疗效观察与安全性评价[J].临床医学工程，2017，24（6）：743-744.
[5]	Burcharth J，Andresen K，Pommergaard HC，et al.Direct inguinal hernias and anterior surgical approach are risk factors for female inguinal hernia recurrences[J].Langenbecks Arch Surg，2014，399（1）：71-76.
[6]	Lee DH，Koo KC，Lee SH，et al.A simple procedure to prevent postoperative inguinal hernia after robot-assisted laparoscopic radical prostatectomy：a plugging method of the internal inguinal floor for patients with patent processus vaginalis[J].J Urol，2014，191（2）：468-472.
[7]	吴明晖.三种不同方案修补术治疗腹股沟疝的临床疗效及安全性分析[J].国际医药卫生导报，2016，22（4）：491-493.
[8]	Sivasankaran MV，Pham T，Divino CM，et al.Incidence and risk factors for urinary retention following laparoscopic inguinal hernia repair[J].Ame J Surg，2014，207（2）：288-292.
[9]	王文瑞，李健文，王骥，等.复发性腹股沟疝的临床特点和腹腔镜手术方式选择[J].中华消化外科杂志，2015，14（10）：827-831.
[10]	陈昕，徐露，殷骏，等.腹腔镜经腹腹膜前疝修补术的临床疗效及术后并发症危险因素分析[J].中华消化外科杂志，2017，16（9）：915-920.
[11]	陈胜平，谷春伟.TEP与TAPP治疗腹股沟疝的临床评价[J].中国现代普通外科进展，2015，18（9）：736-737，740
[12]	肖强，曾军，梁海飞，等.不同术式的疝修补术治疗成人腹股沟疝后的临床疗效观察[J].河北医学，2017，23（4）：603-607.
[13]	孟宁，李明，高鹏志，等.TAPP与改良Kugel疝修补术的临床对照研究[J].中华疝和腹壁外科杂志（电子版），2016，10（3）：178-181.
[14]	夏联山，罗靖，古少东，等.腹腔镜腹股沟疝修补术与腹腔镜完全腹膜外疝修补术手术疗效的对比[J].中华疝和腹壁外科杂志（电子版），2017，11（2）：137-139.
[15]	马学强，朱雄文，聂寒秋，等.两种后入路腹膜前间隙修补术治疗成人腹股沟疝的临床观察[J].中华普通外科学文献（电子版），2017，11（2）：93-95.