Abstract：
OBJECTIVE: The present study aims to describe the feasibility and the postoperative results of groin hernia repair in liver transplant patients using a totally extra-peritoneal (TEP) repair approach.
METHODS: From May 2022 to March 2023, liver transplant patients with groin hernia underwent TEP groin hernia repair, by the single common senior experimented surgeon. Background information, intraoperative findings, postoperative complications, postoperative pain, health, and well-being were registered.
RESULTS: Thirteen TEP approach groin hernioplasties were performed in 10 patients, completing the procedure in all cases without the need for conversion either to open or transabdominal preperitoneal approaches. 70% of surgical explorations revealed multiple hernia defects: lateral hernias in all patients, medial defects in 62%, and femoral defects in 30.8%. Median hospital stay was 1 day [range (0.3)], with 30% treated as outpatients. Post-surgical complications occurred in 30% of cases: 1 hematoma and 2 seromas. Postoperative pain and physical functioning scored 100 (IQR 44) and 90 (IQR 15), respectively.
CONCLUSIONS: TEP groin hernioplasty is safe and feasible for liver transplant patients, with low complication rates, short hospital stays, and a significant proportion treated as outpatients. The posterior approach allows comprehensive repair of myopectineal defects, crucial due to associated hernial defects.
METHODS: From May 2022 to March 2023, liver transplant patients with groin hernia underwent TEP groin hernia repair, by the single common senior experimented surgeon. Background information, intraoperative findings, postoperative complications, postoperative pain, health, and well-being were registered.
RESULTS: Thirteen TEP approach groin hernioplasties were performed in 10 patients, completing the procedure in all cases without the need for conversion either to open or transabdominal preperitoneal approaches. 70% of surgical explorations revealed multiple hernia defects: lateral hernias in all patients, medial defects in 62%, and femoral defects in 30.8%. Median hospital stay was 1 day [range (0.3)], with 30% treated as outpatients. Post-surgical complications occurred in 30% of cases: 1 hematoma and 2 seromas. Postoperative pain and physical functioning scored 100 (IQR 44) and 90 (IQR 15), respectively.
CONCLUSIONS: TEP groin hernioplasty is safe and feasible for liver transplant patients, with low complication rates, short hospital stays, and a significant proportion treated as outpatients. The posterior approach allows comprehensive repair of myopectineal defects, crucial due to associated hernial defects.
摘要：
目的：本研究旨在描述使用完全腹膜外（TEP）修复方法对肝移植患者进行腹股沟疝修复的可行性和术后结果。
方法：从2022年5月至2023年3月，有腹股沟疝的肝移植患者接受了TEP腹股沟疝修补术，由单一的普通高级实验外科医生。背景资料,术中发现,术后并发症,术后疼痛,健康,幸福被登记了。
结果：对10例患者进行了13次TEP入路腹股沟疝手术，在所有情况下完成手术，无需转换为开放或经腹腹膜前入路。70％的手术探查显示多发性疝缺损：所有患者都有外侧疝，62%的内侧缺损，股骨缺损占30.8%。中位住院时间为1天[范围（0.3）]，30%作为门诊病人。手术后并发症发生在30％的病例中：1个血肿和2个血清瘤。术后疼痛和身体功能评分为100分（IQR44）和90分（IQR15），分别。
结论：TEP腹股沟疝修补术对肝移植患者是安全可行的，并发症发生率低，住院时间短,和相当比例的门诊病人。后入路可以全面修复肌外阴骨缺损，至关重要的是，由于相关的先天缺陷。
方法：从2022年5月至2023年3月，有腹股沟疝的肝移植患者接受了TEP腹股沟疝修补术，由单一的普通高级实验外科医生。背景资料,术中发现,术后并发症,术后疼痛,健康,幸福被登记了。
结果：对10例患者进行了13次TEP入路腹股沟疝手术，在所有情况下完成手术，无需转换为开放或经腹腹膜前入路。70％的手术探查显示多发性疝缺损：所有患者都有外侧疝，62%的内侧缺损，股骨缺损占30.8%。中位住院时间为1天[范围（0.3）]，30%作为门诊病人。手术后并发症发生在30％的病例中：1个血肿和2个血清瘤。术后疼痛和身体功能评分为100分（IQR44）和90分（IQR15），分别。
结论：TEP腹股沟疝修补术对肝移植患者是安全可行的，并发症发生率低，住院时间短,和相当比例的门诊病人。后入路可以全面修复肌外阴骨缺损，至关重要的是，由于相关的先天缺陷。
