Lichtenstein术后复发性腹股沟疝的腔镜治疗

目的：评价腹腔镜下经腹腹膜前入路（TAPP）治疗Lichtenstein术后复发性腹股沟疝的临床效果。 方法：回顾性分析2009年5月—2014年3月间中南大学湘雅医院行腹腔镜下TAPP治疗的12例Lichtenstein术后复发疝患者临床资料。 结果：全组均顺利完成腹腔镜手术，无1例中转开放手术。平均手术时间为（110±25）min，术后2例发生血清肿，经穿刺抽液治愈。术后均于48 h内痊愈出院，随访至目前无1例再复发。 结论：腹腔镜下TAPP是治疗Lichtenstein术后复发性腹股沟疝安全有效的方法。

Laparoscopic therapy for recurrent inguinal hernia after Lichtenstein repair

Objective: To assess the clinical efficacy of laparoscopic transabdominal preperitoneal approach (TAPP) for recurrent inguinal hernia after Lichtenstein hernioplasty. Methods: The clinical data of 12 patients with recurrent inguinal hernia after Lichtenstein surgery undergoing laparoscopic TAPP procedure between May 2009 and March 2014 in Xiangya Hospital were retrospectively analyzed. Results: Laparoscopic surgery was successfully performed in the entire group of patients, without any open conversion. The mean operative time was (110±25) min, and seroma occurred in 2 patients, which was resolved by needle aspiration. All patients recovered and were discharged from hospital within postoperative 48 h, and no re-recurrence was noted so far. Conclusion: Laparoscopic TAPP procedure is a safe and effective method in management of recurrent inguinal hernia after Lichtenstein repair.