PDF(Pubmed)
Abstract：
UNASSIGNED: Hernia may be defined as a protrusion of viscus through layers anatomically designed to contain that viscus. Most abdominal hernias occur at well-described sites of potential weakness. Repair of inguinal hernia is one of the most common operations in general surgery. Objectives: To compare the perioperative complication rates of total extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) repairs of primary inguinal hernias.
UNASSIGNED: It is a randomised comparative study, conducted at the department of general surgery. A total of 50 patients were included and divided into two groups with 25 in each. Group A represents the laparoscopic TEP repair and group B represents the laparoscopic TAPP repair. Patients above 18 years with primary unilateral inguinal hernia were included. Patients having complicated inguinal hernia and history of previous abdominal surgery were excluded.
UNASSIGNED: We observed that hernia occurrence is more common in the 31-50 years of age group and right-sided hernia is more common. Scrotal oedema and conversion to open surgery chances are similar in both TEP and TAPP groups. The duration of surgery in TEP is significantly higher as compared to TAPP. Patients who underwent TEP experienced less pain as compared to TAPP as per visual analogue scale. Postoperative hospital stay and time taken to resume the routine activity were significantly less in case of TEP.
UNASSIGNED: TEP is preferred over TAPP for laparoscopic hernia repair because it preserves the peritoneal integrity and has lesser postoperative pain. The early recovery and return to the routine work were seen with the patient treated with the TEP and also showed better visual analogue score than the TAPP repair group.
UNASSIGNED: It is a randomised comparative study, conducted at the department of general surgery. A total of 50 patients were included and divided into two groups with 25 in each. Group A represents the laparoscopic TEP repair and group B represents the laparoscopic TAPP repair. Patients above 18 years with primary unilateral inguinal hernia were included. Patients having complicated inguinal hernia and history of previous abdominal surgery were excluded.
UNASSIGNED: We observed that hernia occurrence is more common in the 31-50 years of age group and right-sided hernia is more common. Scrotal oedema and conversion to open surgery chances are similar in both TEP and TAPP groups. The duration of surgery in TEP is significantly higher as compared to TAPP. Patients who underwent TEP experienced less pain as compared to TAPP as per visual analogue scale. Postoperative hospital stay and time taken to resume the routine activity were significantly less in case of TEP.
UNASSIGNED: TEP is preferred over TAPP for laparoscopic hernia repair because it preserves the peritoneal integrity and has lesser postoperative pain. The early recovery and return to the routine work were seen with the patient treated with the TEP and also showed better visual analogue score than the TAPP repair group.
摘要：
■疝可以定义为通过解剖学上设计为包含该内脏的层的内脏突出。大多数腹部疝发生在描述良好的潜在虚弱部位。腹股沟疝修补术是普外科最常见的手术之一。目的:比较全腹膜外(TEP)和经腹腹膜前(TAPP)修补原发性腹股沟疝的围手术期并发症发生率。
■这是一项随机比较研究，在普外科进行。共纳入50例患者，分为两组，每组25例。A组代表腹腔镜TEP修复，B组代表腹腔镜TAPP修复。包括18岁以上的原发性单侧腹股沟疝患者。排除患有复杂腹股沟疝和既往腹部手术史的患者。
■我们观察到，疝气的发生在31-50岁年龄段更为常见，右侧疝气更为常见。TEP和TAPP组的阴囊水肿和转换为开放手术的机会相似。与TAPP相比，TEP的手术持续时间明显更长。根据视觉模拟量表，与TAPP相比，接受TEP的患者疼痛较少。在TEP的情况下，术后住院时间和恢复常规活动的时间明显减少。
■TEP优于TAPP用于腹腔镜疝修补术，因为它保留了腹膜的完整性，术后疼痛较小。在接受TEP治疗的患者中，可以看到早期恢复并恢复到常规工作，并且比TAPP修复组显示出更好的视觉模拟评分。
■这是一项随机比较研究，在普外科进行。共纳入50例患者，分为两组，每组25例。A组代表腹腔镜TEP修复，B组代表腹腔镜TAPP修复。包括18岁以上的原发性单侧腹股沟疝患者。排除患有复杂腹股沟疝和既往腹部手术史的患者。
■我们观察到，疝气的发生在31-50岁年龄段更为常见，右侧疝气更为常见。TEP和TAPP组的阴囊水肿和转换为开放手术的机会相似。与TAPP相比，TEP的手术持续时间明显更长。根据视觉模拟量表，与TAPP相比，接受TEP的患者疼痛较少。在TEP的情况下，术后住院时间和恢复常规活动的时间明显减少。
■TEP优于TAPP用于腹腔镜疝修补术，因为它保留了腹膜的完整性，术后疼痛较小。在接受TEP治疗的患者中，可以看到早期恢复并恢复到常规工作，并且比TAPP修复组显示出更好的视觉模拟评分。
