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Abstract：
Background Inguinal hernia repair is one of the most commonly performed operations in general surgery, especially in the digestive field. Since the introduction of laparoscopic repair as well as using a synthetic mesh, the surgical trends have changed in the last decade in treating inguinal hernias. The laparoscopic transabdominal preperitoneal gives a better view of the inguinal anatomy, and the procedure also has a short learning curve. We aim to evaluate the safety and early outcome of the laparoscopic transabdominal preperitoneal technique for inguinal hernia repair using a Prolene® mesh (Ethicon Somerville, NJ, USA). Methods A prospective study was carried out among 31 adult patients with 34 inguinal hernia cases. They underwent the laparoscopic transabdominal preperitoneal technique with a Prolene mesh at the Hue Central Hospital from December 2018 through May 2019. Results The mean age was 60.4 ± 11.8, and 96.8% of cases were male. Strangulated hernia and incarcerated hernia accounted for 2.9% and 8.8% of cases, respectively. The mean duration of unilateral inguinal hernia repair and bilateral inguinal repair was 57.1 ± 17.3 minutes and 80.3 ± 10.6 minutes, respectively. The mean duration of the postoperative hospital stay was 3.9 ± 1.4 days. One (3.2%) case with contralateral inguinal hernia was detected intraoperatively. An early and three-month postoperative evaluation showed that 93.5% and 96.8% of cases were categorized as \"very good\", respectively. At the three-month evaluation, one case was reported with sensation disorder of the inguinal area, and there was no recurrence. Conclusions Laparoscopic transabdominal preperitoneal inguinal hernia repair is a safe and feasible technique. It allows surgeons to explore the opposite site and resolve the combined peritoneal diseases.
摘要：
背景腹股沟疝修补术是普外科中最常用的手术之一。尤其是在消化领域。自从引入腹腔镜修复以及使用合成网以来，在过去的十年中，治疗腹股沟疝的手术趋势发生了变化。腹腔镜经腹腹膜前提供了一个更好的腹股沟解剖视图，和程序也有一个短的学习曲线。我们旨在评估使用Prolene®网片（EthiconSomerville，NJ,美国）。方法对31例成人腹股沟疝患者34例进行前瞻性研究。从2018年12月至2019年5月，他们在Hue中心医院接受了Prolene网片的腹腔镜经腹腹膜前技术。结果平均年龄为60.4±11.8岁,96.8%为男性。绞合疝和嵌顿疝分别占2.9%和8.8%,分别。单侧腹股沟疝修补术和双侧腹股沟疝修补术的平均时间分别为57.1±17.3分钟和80.3±10.6分钟，分别。术后平均住院时间为3.9±1.4天。术中发现1例（3.2％）对侧腹股沟疝。早期和术后三个月的评估显示，分别有93.5％和96.8％的病例被归类为“非常好”，分别。在三个月的评估中，报告1例腹股沟区感觉障碍,而且没有复发.结论腹腔镜经腹腹膜前腹股沟疝修补术是一种安全可行的技术。它允许外科医生探索相反的部位并解决合并的腹膜疾病。
