Abstract：
OBJECTIVE: Metachronous contralateral inguinal hernia (MCIH) may occur after unilateral inguinal hernia (IH) repair, potentially as a result of occult IH (OIH). Contralateral OIH can be checked for during laparoscopic transabdominal hernioplasty for the treatment of unilateral IH. This study aims to assess the efficacy of laparoscopic iliopubic tract repair (IPTR) in treating contralateral OIH to reduce MCIH.
METHODS: The medical charts of 3165 patients aged > 18 years who underwent laparoscopic transabdominal hernioplasty for unilateral IH from January 2013 to December 2021 were retrospectively reviewed. The patients were categorized into two groups based on contralateral OIH presence: negative OIH (nOIH, 2657 patients) and OIH (508 patients). In cases of OIH, IPTR was performed, involving suturing of the iliopubic tract and transversalis fascia arch.
RESULTS: MCIH was indirect in 26 and direct in 4 patients in the nOIH group, and was direct in 3 patients in the OIH group. The incidence of indirect MCIH was higher in the nOIH group than in the OIH (1.0% [n = 26/2657] vs. 0.0% [n = 0/508], p = 0.048). There was no difference in postoperative complication rates, pain scores, return to daily life, or duration of hospitalization between the nOIH and OIH groups.
CONCLUSIONS: Laparoscopic IPTR for OIH treatment is an effective method for reducing the risk of indirect MCIH.
METHODS: The medical charts of 3165 patients aged > 18 years who underwent laparoscopic transabdominal hernioplasty for unilateral IH from January 2013 to December 2021 were retrospectively reviewed. The patients were categorized into two groups based on contralateral OIH presence: negative OIH (nOIH, 2657 patients) and OIH (508 patients). In cases of OIH, IPTR was performed, involving suturing of the iliopubic tract and transversalis fascia arch.
RESULTS: MCIH was indirect in 26 and direct in 4 patients in the nOIH group, and was direct in 3 patients in the OIH group. The incidence of indirect MCIH was higher in the nOIH group than in the OIH (1.0% [n = 26/2657] vs. 0.0% [n = 0/508], p = 0.048). There was no difference in postoperative complication rates, pain scores, return to daily life, or duration of hospitalization between the nOIH and OIH groups.
CONCLUSIONS: Laparoscopic IPTR for OIH treatment is an effective method for reducing the risk of indirect MCIH.
摘要：
目的：单侧腹股沟疝（IH）修补术后可能发生对侧腹股沟疝（MCIH），可能是隐匿性IH(OIH)的结果。在腹腔镜经腹疝修补术治疗单侧IH期间，可以检查对侧OIH。本研究旨在评估腹腔镜耻骨束修复术（IPTR）治疗对侧OIH以减少MCIH的疗效。
方法：回顾性分析2013年1月至2021年12月3165例年龄>18岁的单侧IH行腹腔镜经腹疝修补术患者的病历。根据对侧OIH的存在将患者分为两组：OIH阴性（nOIH，2657名患者）和OIH（508名患者）。在OIH的情况下，进行了IPTR，涉及髂耻骨束和横肌筋膜弓的缝合。
结果：MCIH在nOIH组中有26例患者是间接的，在4例患者中是直接的，在OIH组中有3例患者是直接的。nOIH组的间接MCIH发生率高于OIH(1.0%[n=26/2657]vs.0.0%[n=0/508]，p=0.048)。术后并发症发生率无差异，疼痛评分,回到日常生活中,或nOIH和OIH组之间的住院时间。
结论：腹腔镜IPTR治疗OIH是降低间接MCIH风险的有效方法。
方法：回顾性分析2013年1月至2021年12月3165例年龄>18岁的单侧IH行腹腔镜经腹疝修补术患者的病历。根据对侧OIH的存在将患者分为两组：OIH阴性（nOIH，2657名患者）和OIH（508名患者）。在OIH的情况下，进行了IPTR，涉及髂耻骨束和横肌筋膜弓的缝合。
结果：MCIH在nOIH组中有26例患者是间接的，在4例患者中是直接的，在OIH组中有3例患者是直接的。nOIH组的间接MCIH发生率高于OIH(1.0%[n=26/2657]vs.0.0%[n=0/508]，p=0.048)。术后并发症发生率无差异，疼痛评分,回到日常生活中,或nOIH和OIH组之间的住院时间。
结论：腹腔镜IPTR治疗OIH是降低间接MCIH风险的有效方法。
