PDF(Pubmed)
Abstract：
UNASSIGNED: Totally extra-peritoneal (TEP) and transabdominal preperitoneal (TAPP) repair are two established minimal access techniques of groin hernia surgery. TEP offers the advantage of avoiding violation of the peritoneal cavity.
UNASSIGNED: This study aims to describe the decade-long experience of TEP in groin hernia repair in a tertiary care teaching institute and the feasibility of the same in difficult scenarios.
UNASSIGNED: Retrospective analysis of the database of patients undergoing TEP repair for inguinal hernia in a single surgical unit at a tertiary teaching hospital between January 2008 and December 2019 was performed. Detailed pre-operative clinical details, operative duration, intraoperative and post-operative complications, including pain, length of post-operative hospital stay and hernia recurrence data were analysed.
UNASSIGNED: Over 12 years\' duration, 511 patients underwent endoscopic TEP mesh repair and the total number of hernias repaired was 614. Majority (97.45%) of patients were male. The mean age of the patient population was 51.3 years. Primary hernia was seen in 490 patients. The mean operating time for unilateral inguinal hernia repair was 56.8 ± 16 min and for bilateral repair 80.9 ± 25.2 min. TEP in previous lower abdominal/suprapubic surgical scars was attempted in 17 (3.3%) patients, with only one requiring conversion. The intraoperative peritoneal breach was the most common documented complication (34.8%). Seroma was seen in 9.4% of patients. Seventeen patients required conversion (14 TAPP and 3 open). Recurrence was seen in 4 (0.7) patients.
UNASSIGNED: TEP repair is an effective method of groin hernia repair and can be attempted in the majority of patients groin hernia, including patients with previous lower abdominal incisions.
UNASSIGNED: This study aims to describe the decade-long experience of TEP in groin hernia repair in a tertiary care teaching institute and the feasibility of the same in difficult scenarios.
UNASSIGNED: Retrospective analysis of the database of patients undergoing TEP repair for inguinal hernia in a single surgical unit at a tertiary teaching hospital between January 2008 and December 2019 was performed. Detailed pre-operative clinical details, operative duration, intraoperative and post-operative complications, including pain, length of post-operative hospital stay and hernia recurrence data were analysed.
UNASSIGNED: Over 12 years\' duration, 511 patients underwent endoscopic TEP mesh repair and the total number of hernias repaired was 614. Majority (97.45%) of patients were male. The mean age of the patient population was 51.3 years. Primary hernia was seen in 490 patients. The mean operating time for unilateral inguinal hernia repair was 56.8 ± 16 min and for bilateral repair 80.9 ± 25.2 min. TEP in previous lower abdominal/suprapubic surgical scars was attempted in 17 (3.3%) patients, with only one requiring conversion. The intraoperative peritoneal breach was the most common documented complication (34.8%). Seroma was seen in 9.4% of patients. Seventeen patients required conversion (14 TAPP and 3 open). Recurrence was seen in 4 (0.7) patients.
UNASSIGNED: TEP repair is an effective method of groin hernia repair and can be attempted in the majority of patients groin hernia, including patients with previous lower abdominal incisions.
摘要：
UNASSIGNED：完全腹膜外（TEP）和经腹腹膜前（TAPP）修复是腹股沟疝手术的两种既定的最小入路技术。TEP提供避免侵犯腹膜腔的优点。
UNASSIGNED：本研究旨在描述三级护理教学机构中TEP在腹股沟疝修补术中长达十年的经验，以及在困难情况下相同的可行性。
UNASSIGNED：回顾性分析了2008年1月至2019年12月在三级教学医院接受TEP修补术治疗腹股沟疝的患者数据库。详细的术前临床细节，手术持续时间,术中和术后并发症，包括疼痛,分析术后住院时间和疝气复发数据。
未经批准：超过12年，511例患者接受了内镜下TEP网片修复，疝修复总数为614例。大多数（97.45%）患者为男性。患者群体的平均年龄为51.3岁。490例患者出现原发性疝。单侧腹股沟疝修补术的平均手术时间为56.8±16分钟，双侧修补术的平均手术时间为80.9±25.2分钟。在17例（3.3％）患者中尝试了先前下腹部/耻骨上手术疤痕的TEP，只有一个需要转换。术中腹膜破裂是最常见的并发症（34.8％）。在9.4％的患者中发现了血清肿。17名患者需要转换（14名TAPP和3名开放）。4（0.7）例患者出现复发。
UNASSIGNED：TEP修补术是腹股沟疝修补术的有效方法，可在大多数腹股沟疝患者中尝试，包括先前下腹部切口的患者。
UNASSIGNED：本研究旨在描述三级护理教学机构中TEP在腹股沟疝修补术中长达十年的经验，以及在困难情况下相同的可行性。
UNASSIGNED：回顾性分析了2008年1月至2019年12月在三级教学医院接受TEP修补术治疗腹股沟疝的患者数据库。详细的术前临床细节，手术持续时间,术中和术后并发症，包括疼痛,分析术后住院时间和疝气复发数据。
未经批准：超过12年，511例患者接受了内镜下TEP网片修复，疝修复总数为614例。大多数（97.45%）患者为男性。患者群体的平均年龄为51.3岁。490例患者出现原发性疝。单侧腹股沟疝修补术的平均手术时间为56.8±16分钟，双侧修补术的平均手术时间为80.9±25.2分钟。在17例（3.3％）患者中尝试了先前下腹部/耻骨上手术疤痕的TEP，只有一个需要转换。术中腹膜破裂是最常见的并发症（34.8％）。在9.4％的患者中发现了血清肿。17名患者需要转换（14名TAPP和3名开放）。4（0.7）例患者出现复发。
UNASSIGNED：TEP修补术是腹股沟疝修补术的有效方法，可在大多数腹股沟疝患者中尝试，包括先前下腹部切口的患者。
