PDF(Pubmed)
Abstract：
Inguinal hernias, although a common occurrence, pose a significant threat to the surgical community on account of their complexity and socioeconomic consequences. Bilateral inguinal hernias, which are a rare subtype of inguinal hernias, in particular, are problematic since there are no existing definitive international guidelines for their repair. It is estimated that between 8% and 30% of inguinal hernia patients have bilateral hernias, but there is still no clarity as to whether a bilateral hernia represents a special type of inguinal hernia or two different hernias in one patient. The transabdominal pre-peritoneal repair (TAPP), totally extra-peritoneal repair (TEP), and Lichtenstein repair techniques are commonly employed depending on the resources and surgical expertise available, but there is a need to conduct large-scale, prospective, randomized-controlled trials to guide the formation of evidence-based guidelines that could be followed globally. Herein, we present the first known case of a bilateral inguinal hernia in a female pediatric patient repaired by the laparoscopic TAPP technique from Pakistan.
摘要：
腹股沟疝,虽然很常见，由于其复杂性和社会经济后果，对外科界构成重大威胁。双侧腹股沟疝,这是一种罕见的腹股沟疝亚型，特别是,是有问题的，因为目前没有明确的国际修复准则。据估计，8％至30％的腹股沟疝患者患有双侧疝，但是，对于一名患者的双侧疝是否代表一种特殊类型的腹股沟疝或两种不同的疝，目前尚不清楚。经腹腹膜前修复术(TAPP),完全腹膜外修复术(TEP),根据可用的资源和外科专业知识，通常采用Lichtenstein修复技术，但是有必要进行大规模的，prospective,随机对照试验，以指导可在全球范围内遵循的循证指南的形成。在这里，我们介绍了第一例已知的双侧腹股沟疝病例,该病例是来自巴基斯坦的1例通过腹腔镜TAPP技术修复的女性儿科患者.
