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.
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。