免气囊、免固定完全腹膜外腹腔镜下腹股沟疝修补术的治疗进展

腹股沟疝是普通外科常见病、多发病,通过百余年的发展,逐渐从传统的开放式疝修补术向腹腔镜下疝修补术所过渡,由于免气囊,免固定完全腹膜外腹腔镜下腹股沟疝修补术(TEP)不进入腹腔、不需昂贵的气囊分离器,不需钉枪固定,极大地降低了手术费用,特别适合贫困地区及基层医院展开。该文就免气囊、免固定TEP在创伤大小、可靠程度、术后疼痛程度、复发率、恢复情况、手术费用等方面予以综述。

Improvement of Laparoscopic Total Extraperitoneai Inguinal Hernia Repair without Fixing Patchand Gasbag

Inguinal hernia is a common disease in general surgery department. With more than onehundred years of development,it＇s gradually shifting from traditional open herniorrhaphy to the herniorrhaphyunder laparoscope. Laparoscopic total extraperitoneal （TEP） inguinal hernia repair without fixing patch andgasbag does not enter the abdominal cavity, without need of expensive balloon separator, nail fixation, greatlyreducing the cost of surgery, is especially suitable to develop in poor areas and the primary hospital. Here is tomake a review of the trauma, reliability, degree of postoperative pain, recurrence rate, the recovery, andsurgery costs oflaparoscopic TEP inguinal hernia repair without fixing patch and gasbag.