Kugel和TAPP修补术治疗成人腹股沟疝的效果比较

Abstract
Figure/Table
References (16)
Related Citation (15)

Download: PDF (0 KB) HTML (33 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To compare the clinic effect of modified-Kugel and transabdominal preperitoneal repair (TAPP)in the treatment of adults inguinal hernia. Methods The clinical data of 173 patients with inguinal hernia treated in our hospital from January 2015 to March 2017 were retrospectively analyzed. Patients were divided into modified-Kugel group (78 cases) and the TAPP group (95 cases). The differences in surgical indicators (diameter of hernia sac，operation time，visual analogue scale ［VAS］)，postoperative complications (pain degree，hematoma，effusion，foreign body sensation) and recurrence after 2 years were compared between the two groups. Results There were no significant differences in the diameter of hernia sac neck，operation time and VAS score between the two groups (P＞0.05). There were no significant difference in the incidence rates of early pain，chronic pain and postoperative complications between the two groups (P＞0.05). After 2 years follow-up，there was no significant difference in recurrence rate between the two groups (P＞0.05). Conclusion Modified- Kugel repair and TAPP repair have the same effect treating adult inguinal hernia. Treatment can be selected according to the indication and the specific situation of the patient.

Key words： Modified-Kugel Transabdominal preperitoneal repair Inguinal hernia Preperitoneal space Treatment effect

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	TAO Hong-fa
	XIAO Yong
	ZHAO Kun

Cite this article:

TAO Hong-fa,XIAO Yong,ZHAO Kun. Effect comparison of Kugel and TAPP in the treatment of adults inguinal hernia[J]. 中国当代医药, 2020, 27(18): 70-72转76.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I18/70

［1］	陈宁波，曾杰.局麻下应用UHS 与Lichtenstein 两种术式治疗腹股沟疝的疗效对比分析［J］.临床外科杂志，2016，24（2）：127-129.
［2］	崔成.腹腔镜疝修补术治疗成人腹股沟疝的临床疗效观察［J］.中国冶金工业医学杂志，2019，36（3）：320-321.
［3］	唐健雄.现代疝外科解剖和治疗原则的新认识［J］.中华消化外科杂志，2015，14（10）：806-810.
［4］	Sajid MS，Craciunas L，Singh KK，et al.Open transinguinal preperitoneal mesh repair of inguinal hernia：a targeted systematic review and meta-analysis of published randomized controlled trials［J］.Gastroenterol Rep（Oxf），2013，1（2）：127-137.
［5］	Kugel RD.The Kugel repair for groin hernias［J］.Surg Clin North Am，2003，83（5）：1119-1139.
［6］	中华医学会外科学分会疝与腹壁外科学组，中华医学会外科学分会腹腔镜与内镜外科学组，大中华腔镜疝外科学院.腹腔镜腹股沟疝手术操作指南（2017 版）［J］.中华疝和腹壁外科杂志（电子版），2017，11（6）：401-406.
［7］	中华医学会外科学分会疝与腹壁外科学组，中国医师协会外科医师分会疝和腹壁外科医师委员会.成人腹股沟疝诊断和治疗指南（2018年版）［J］.中华疝和腹壁外科杂志（电子版），2018，12（4）：244-246.
［9］	黄高石，陈舍黄，姜钢.改良Kugel 与经腹腹膜前疝修补术治疗成人腹股沟疝的临床效果比较［J］.全科医学临床与教育，2018，16（1）：51-53.
［16］	李健文.腹腔镜腹股沟疝修补术的再认识［J］.外科理论与实践，2016，21（2）：98-100.
［8］	Butters M，Redecke J，Koninger J.Long-term results of a randomized clinical trial of shouldice，Lichtenstein and transabdominal preperitoneal hernia repairs［J］.Br J Surg，2007，94（5）：562-565.
［10］	Kugel RD.Minimally invasive，nonlaparoscopic，preperitoneal，and sutureless，inguinal herniorrhaphy［J］.Am J Surg，1999，178（4）：298-302.
［11］	Dogru O，Girgin M，Bulbuller N，et al.Comparison of Kugel and Lichtenstein operations for inguinal hernia repair：results of a prospective randomized study［J］.World J Surg，2006，30（3）：346-350.
［12］	Nienhuijs S，Staal E，Keemers-Gels M，et al.Pain after open preperitoneal repair versus Lichtenstein repair：a randomized trial［J］.World J Surg，2007，31（9）：1751-1757.
［13］	Arslan K，Erenoglu B，Turan E，et al.Minimally invasive pre peritoneal single-layer mesh repair versus standard Lichtenstein hernia repair for inguinal hernia：a prospective randomized trial［J］.Hernia，2015，19（3）：373-381.
［14］	Okinaga K，Hori T，Inaba T，et al.A randomized clinical study on postoperative pain comparing the Polysoft patch to the modified Kugel patch for transinguinal preperitoneal inguinal hernia repair［J］.Surg Today，2016，46（6）：691-698.
［15］	Andresen K，Rosenberg J.Open preperitoneal groin hernia repair with mesh：a qualitative systematic review［J］.Am J Surg，2017，213（6）：1153-1159.