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Abstract：
OBJECTIVE: To find the superiority of extended total extraperitoneal (E-TEP) repair and trans-abdominal pre-peritoneal (TAPP) mesh repair in inguinal hernia repair.
METHODS: A total of 30 patients with a unilateral or bilateral inguinal hernia (IH), and recurrent IH, following open repair were studied. Out of 30 patients, laparoscopic TAPP or E-TEP mesh repair was performed in an equal number of inguinal hernia patients. The patient\'s demographic parameters, duration of surgery, postoperative hospital stay, and complications were compared.
RESULTS: In the E-TEP group, 33.33% of patients had left inguinal hernia (LIH), 60% of patients were diagnosed with right inguinal hernia (RIH) and 6.67% of patients had right inguinal and right direct hernia (RDH). In the TAPP group, 33.33% of patients had LIH and 53.33% of patients were suffering from RIH. Moreover, 6.67% of patients were diagnosed with a left inguinal direct hernia, and a similar proportion of patients had a right inguinal direct hernia. The mean duration of surgery was found to be significantly higher in the TAPP group (P<0.0000). The mean postoperative hospital stay was 2.07±0.59 and 2.80±1.32 days in E-TEP and TAPP groups, respectively (P=0.044).
CONCLUSIONS: In the present study, E-TEP mesh repair is a superior technique in the management of inguinal hernia as compared with TAPP repair.
METHODS: A total of 30 patients with a unilateral or bilateral inguinal hernia (IH), and recurrent IH, following open repair were studied. Out of 30 patients, laparoscopic TAPP or E-TEP mesh repair was performed in an equal number of inguinal hernia patients. The patient\'s demographic parameters, duration of surgery, postoperative hospital stay, and complications were compared.
RESULTS: In the E-TEP group, 33.33% of patients had left inguinal hernia (LIH), 60% of patients were diagnosed with right inguinal hernia (RIH) and 6.67% of patients had right inguinal and right direct hernia (RDH). In the TAPP group, 33.33% of patients had LIH and 53.33% of patients were suffering from RIH. Moreover, 6.67% of patients were diagnosed with a left inguinal direct hernia, and a similar proportion of patients had a right inguinal direct hernia. The mean duration of surgery was found to be significantly higher in the TAPP group (P<0.0000). The mean postoperative hospital stay was 2.07±0.59 and 2.80±1.32 days in E-TEP and TAPP groups, respectively (P=0.044).
CONCLUSIONS: In the present study, E-TEP mesh repair is a superior technique in the management of inguinal hernia as compared with TAPP repair.
摘要：
目的：探讨扩大全腹膜外（E-TEP）修补术和经腹腹膜前（TAPP）补片修补术在腹股沟疝修补术中的优越性。
方法：共30例单侧或双侧腹股沟疝（IH）患者，和复发性IH，随后对开放式修复进行了研究。在30名患者中，在相同数量的腹股沟疝患者中进行了腹腔镜TAPP或E-TEP网状修补术。病人的人口统计学参数,手术持续时间,术后住院时间,并对并发症进行比较。
结果：在E-TEP组中，33.33%的患者有左腹股沟疝(LIH),60％的患者诊断为右腹股沟疝（RIH），6.67％的患者诊断为右腹股沟和右直疝（RDH）。在TAPP组中，33.33%的患者患有LIH，53.33%的患者患有RIH。此外，6.67%的患者诊断为左腹股沟直疝,并且相似比例的患者患有右腹股沟直疝。TAPP组的平均手术时间明显延长(P<0.0000)。E-TEP组和TAPP组术后平均住院时间分别为2.07±0.59和2.80±1.32天,分别为(P=0.044)。
结论：在本研究中，与TAPP修补术相比，E-TEP网片修补术是治疗腹股沟疝的一种优越技术。
方法：共30例单侧或双侧腹股沟疝（IH）患者，和复发性IH，随后对开放式修复进行了研究。在30名患者中，在相同数量的腹股沟疝患者中进行了腹腔镜TAPP或E-TEP网状修补术。病人的人口统计学参数,手术持续时间,术后住院时间,并对并发症进行比较。
结果：在E-TEP组中，33.33%的患者有左腹股沟疝(LIH),60％的患者诊断为右腹股沟疝（RIH），6.67％的患者诊断为右腹股沟和右直疝（RDH）。在TAPP组中，33.33%的患者患有LIH，53.33%的患者患有RIH。此外，6.67%的患者诊断为左腹股沟直疝,并且相似比例的患者患有右腹股沟直疝。TAPP组的平均手术时间明显延长(P<0.0000)。E-TEP组和TAPP组术后平均住院时间分别为2.07±0.59和2.80±1.32天,分别为(P=0.044)。
结论：在本研究中，与TAPP修补术相比，E-TEP网片修补术是治疗腹股沟疝的一种优越技术。
