PDF(Pubmed)
Abstract：
OBJECTIVE: This study aimed to evaluate concurrent laparoscopic totally extraperitoneal (TEP) inguinal hernia repair and transurethral resection of the prostate (TURP) with determination of outcomes.
METHODS: This retrospective study was conducted at our hospital, from June 2011 to June 2020. Over 9 years, 17 patients with co-existing uncomplicated unilateral or bilateral inguinal hernia (primary/recurrent) and significant benign prostatic hypertrophy were operated in the same sitting. The following outcomes were compared: duration of the surgery, conversion to open hernia surgery, intraoperative and post-operative complications, duration of hospital stay, recurrence, time taken to resume normal activity and cost of the treatment.
RESULTS: This study included 17 patients with a mean age of 65 years (range of 50-87 years). The average time taken for the surgery was 115 min with no conversion to open hernia repair. The mean post-operative stay was 3.7 days. There were four patients (23.5%) with seromas identified at day 10, only two remained at 6 weeks and none at 12 weeks. None had significant bleeding intraoperatively or postoperatively. There was no superficial or deep wound infection (including mesh infection). There was no recurrence of inguinal hernia. Two patients (11.7%) developed post-TURP urethral stricture and underwent cystoscopic stricturoplasty, 3 and 2.5 months after the initial procedure. The time taken to resume normal activity was 7 (±1) days. The hospital cost is reduced by 25% as compared to the sum of costs when both the operations are done separately.
CONCLUSIONS: Concurrent TEP inguinal hernia repair and TURP is a practical, safe and cost-effective procedure.
METHODS: This retrospective study was conducted at our hospital, from June 2011 to June 2020. Over 9 years, 17 patients with co-existing uncomplicated unilateral or bilateral inguinal hernia (primary/recurrent) and significant benign prostatic hypertrophy were operated in the same sitting. The following outcomes were compared: duration of the surgery, conversion to open hernia surgery, intraoperative and post-operative complications, duration of hospital stay, recurrence, time taken to resume normal activity and cost of the treatment.
RESULTS: This study included 17 patients with a mean age of 65 years (range of 50-87 years). The average time taken for the surgery was 115 min with no conversion to open hernia repair. The mean post-operative stay was 3.7 days. There were four patients (23.5%) with seromas identified at day 10, only two remained at 6 weeks and none at 12 weeks. None had significant bleeding intraoperatively or postoperatively. There was no superficial or deep wound infection (including mesh infection). There was no recurrence of inguinal hernia. Two patients (11.7%) developed post-TURP urethral stricture and underwent cystoscopic stricturoplasty, 3 and 2.5 months after the initial procedure. The time taken to resume normal activity was 7 (±1) days. The hospital cost is reduced by 25% as compared to the sum of costs when both the operations are done separately.
CONCLUSIONS: Concurrent TEP inguinal hernia repair and TURP is a practical, safe and cost-effective procedure.
摘要：
目的：本研究旨在评估同期腹腔镜完全腹膜外（TEP）腹股沟疝修补术和经尿道前列腺电切术（TURP）的结果。
方法：这项回顾性研究在我院进行，从2011年6月到2020年6月。超过9年,17例并存的单纯性单侧或双侧腹股沟疝（原发性/复发性）和明显的良性前列腺肥大的患者在同一坐位中进行了手术。比较以下结果：手术持续时间，转为开放性疝气手术,术中和术后并发症，住院时间,复发,恢复正常活动所需的时间和治疗费用。
结果：本研究包括17名患者，平均年龄65岁（50-87岁）。手术的平均时间为115分钟，没有转换为开放式疝修补术。术后平均住院时间为3.7天。有4名患者（23.5％）在第10天确定了血清肿，只有2名在第6周时仍然存在，而在第12周时没有。术中或术后均无明显出血。无浅层或深部伤口感染（包括网状物感染）。腹股沟疝无复发。2例患者（11.7%）发生TURP术后尿道狭窄并接受膀胱镜狭窄成形术，初始程序后3和2.5个月。恢复正常活动所需的时间为7(±1)天。与两个手术分开进行时的成本总和相比，医院成本降低了25％。
结论：并发TEP腹股沟疝修补术和TURP是一种实用的，安全和具有成本效益的程序。
方法：这项回顾性研究在我院进行，从2011年6月到2020年6月。超过9年,17例并存的单纯性单侧或双侧腹股沟疝（原发性/复发性）和明显的良性前列腺肥大的患者在同一坐位中进行了手术。比较以下结果：手术持续时间，转为开放性疝气手术,术中和术后并发症，住院时间,复发,恢复正常活动所需的时间和治疗费用。
结果：本研究包括17名患者，平均年龄65岁（50-87岁）。手术的平均时间为115分钟，没有转换为开放式疝修补术。术后平均住院时间为3.7天。有4名患者（23.5％）在第10天确定了血清肿，只有2名在第6周时仍然存在，而在第12周时没有。术中或术后均无明显出血。无浅层或深部伤口感染（包括网状物感染）。腹股沟疝无复发。2例患者（11.7%）发生TURP术后尿道狭窄并接受膀胱镜狭窄成形术，初始程序后3和2.5个月。恢复正常活动所需的时间为7(±1)天。与两个手术分开进行时的成本总和相比，医院成本降低了25％。
结论：并发TEP腹股沟疝修补术和TURP是一种实用的，安全和具有成本效益的程序。
