腹腔镜TAPP术治疗复发性腹股沟疝的临床效果

目的探讨腹腔镜经腹腹膜前修补术(TAPP)治疗复发性腹股沟疝的临床效果。方法回顾性分析我院2011年9月至2016年2月行TAPP治疗的腹股沟疝162例患者的临床资料,根据腹股沟疝情况将患者分为原发疝组(142例)与复发疝组(20例)。所有患者在全身麻醉下行腹腔镜TAPP治疗。比较两组的手术时间、术中出血量、术后住院时间、术后并发症发生情况以及复发情况。结果原发疝组的手术时间短于复发疝组(P<0.05);两组的术中出血量及术后住院时间比较,差异无统计学意义(P>0.05)。两组的术后近、远期并发症总发生率及复发率比较,差异无统计学意义(P>0.05)。结论腹腔镜TAPP治疗复发性腹股沟疝可避开前次手术的解剖异常及粘连,疗效可靠,且不增加术后并发症发生率和复发率。

Clinical effect of laparoscopic TAPP in the treatment of recurrent inguinal hernia

Objective To explore the clinical effect of laparoscopic transabdominal preperitoneal(TAPP)in the treatment of recurrent inguinal hernia.Methods The clinical data of 162 patients with inguinal hernia treated by TAPP in our hospital from September 2011 to February 2016 were retrospectively analyzed.According to the situation of inguinal hernia,the patients were divided into primary hernia group(142 cases)and recurrent hernia group(20 cases).All patients were treated with laparoscopic TAPP under general anesthesia.The operation time,intraoperative blood loss,postoperative hospital stay,postoperative complications and recurrence were compared between the two groups.Results The operation time of the primary hernia group was shorter than that of the recurrent hernia group(P<0.05);there were no significant differences in the intraoperative blood loss and postoperative hospital stay between the two groups(P>0.05).There were no significant differences in the total incidences of short-term and long-term postoperative complications and the recurrence rate between the two groups(P>0.05).Conclusion Laparoscopic TAPP in the treatment of recurrent inguinal hernia can avoid the anatomical abnormalities and adhesions of the previous operation,it has reliable curative effect and does not increase the incidence of postoperative complications and recurrence rate.