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Abstract：
Introduction Tension-free repair of groin hernias with synthetic material by video-endoscopic surgery is a widely accepted method that is performed by various approaches. We aim to present our results of video-endoscopic tension-free repair of groin hernias via the total extraperitoneal (TEP) approach. Methods Between September 2016 and December 2018, 124 patients with groin hernias underwent tension-free repair using prolene mesh by video-endoscopic surgery via the TEP approach. This is a retrospective analysis of 110 (88.7%) male and 14 (11.3%) female patients with a mean age of 48.1 years. Groin hernia types, locations of hernias, intraoperative and postoperative complications, results of the mean 24-month follow-up, and recurrence rate were reported. Results A total of 134 hernias were repaired in 124 patients who had 53 (42.7%) right, 61 (49.2%) left, and 10 (8.1%) bilateral groin hernias. The most common hernia type was an indirect inguinal hernia in 83/134 (62%) groin hernias. A total of 119 (88.8%) and 15 (11.2%) hernias were primary and recurrent, respectively. Seroma was detected in two (1.6%) patients in the early postoperative period. The mean duration of hospital stay was 1.4 (1-3) days. During the follow-up period, hernia recurrence was determined in three (2.4%) patients. Hernia recurrence was detected among patients who were operated on during the first half of the study. Conclusion Tension-free repair of groin hernias by video-endoscopic technique via the TEP approach can be performed with very low complication and recurrence rates. The success of the TEP approach increases parallel to increasing surgical experience. The results of hernia repair via the TEP approach are highly satisfactory and encouraging, especially when attention is paid to proper patient selection during the learning curve period.
摘要：
介绍通过视频内窥镜手术用合成材料对腹股沟疝进行无张力修复是一种广泛接受的方法，可通过各种方法进行。我们的目标是通过全腹膜外（TEP）方法对腹股沟疝进行视频内窥镜无张力修复的结果。方法2016年9月至2018年12月,对124例腹股沟疝患者行TEP入路视频内镜下Prolene网片无张力修补术。这是110名（88.7％）男性和14名（11.3％）女性患者的回顾性分析，平均年龄为48.1岁。腹股沟疝类型,疝的位置，术中和术后并发症，平均24个月随访的结果，报告复发率。结果124例患者共修复了134例疝，其中53例（42.7％）正确，61（49.2%）左，和10例（8.1％）双侧腹股沟疝。最常见的疝类型是83/134（62％）腹股沟疝的间接腹股沟疝。原发及复发疝共119例(88.8%)和15例(11.2%),分别。在术后早期，在两名（1.6％）患者中检测到血清肿。平均住院时间为1.4（1-3）天。在后续期间,在3例(2.4%)患者中确定了疝复发.在研究的前半部分手术的患者中发现了疝复发。结论TEP入路视频内镜下腹股沟疝无张力修补术并发症和复发率低。TEP方法的成功随着手术经验的增加而增加。通过TEP方法进行疝修补术的结果非常令人满意和令人鼓舞，特别是在学习曲线期间注意适当的患者选择。
