PDF(Pubmed)
Abstract：
UNASSIGNED: Pantaloon hernia (PH), defined as concurrent ipsilateral direct and indirect inguinal hernias, is known for its high postoperative recurrence rate. This study retrospectively investigated the characteristics of PHs and evaluated the safety and efficacy of incorporating laparoscopic iliopubic tract repair (IPTR) into transabdominal preperitoneal (TAPP) hernioplasty.
UNASSIGNED: A total of 3,355 patients who underwent TAPP hernioplasty for groin hernias between October 2014 and December 2021 were analyzed. These patients were divided into 2 groups: PH (97 patients) and non-PH (3,258 patients). The PH group was further subdivided based on the surgical technique used: TAPP hernioplasty without IPTR (TAPP group, 39 patients) and TAPP hernioplasty with IPTR for defect closure (TAPP + IPTR group, 58 patients).
UNASSIGNED: The study included 93 male and 4 female patients with PH. Patients with PH were generally older and predominantly male compared to the non-PH group. The recurrence rate in the PH group was notably higher than in the non-PH group (2.1% [2 of 97] vs. 0.2% [6 of 3,258], respectively; P = 0.007). Among the PH group, reoperations were more frequent in the TAPP group compared to the TAPP + IPTR group (10.3% [4 of 39] vs. 0% [0 of 58], respectively; P = 0.048). The reasons for reoperation in the PH group included recurrences (2 patients), mesh bulge (1 patient), and chronic seroma (1 patient).
UNASSIGNED: TAPP + IPTR hernioplasty is an acceptable approach in PH treatment, reducing reoperation.
UNASSIGNED: A total of 3,355 patients who underwent TAPP hernioplasty for groin hernias between October 2014 and December 2021 were analyzed. These patients were divided into 2 groups: PH (97 patients) and non-PH (3,258 patients). The PH group was further subdivided based on the surgical technique used: TAPP hernioplasty without IPTR (TAPP group, 39 patients) and TAPP hernioplasty with IPTR for defect closure (TAPP + IPTR group, 58 patients).
UNASSIGNED: The study included 93 male and 4 female patients with PH. Patients with PH were generally older and predominantly male compared to the non-PH group. The recurrence rate in the PH group was notably higher than in the non-PH group (2.1% [2 of 97] vs. 0.2% [6 of 3,258], respectively; P = 0.007). Among the PH group, reoperations were more frequent in the TAPP group compared to the TAPP + IPTR group (10.3% [4 of 39] vs. 0% [0 of 58], respectively; P = 0.048). The reasons for reoperation in the PH group included recurrences (2 patients), mesh bulge (1 patient), and chronic seroma (1 patient).
UNASSIGNED: TAPP + IPTR hernioplasty is an acceptable approach in PH treatment, reducing reoperation.
摘要：
■潘托隆疝（PH），定义为并发同侧直接和间接腹股沟疝，以其高术后复发率而著称。这项研究回顾性调查了PHs的特征，并评估了将腹腔镜髂耻骨束修补术（IPTR）纳入经腹腹膜前（TAPP）疝修补术的安全性和有效性。
■分析了2014年10月至2021年12月期间因腹股沟疝接受TAPP疝修补术的3,355例患者。这些患者分为2组：PH（97例）和非PH（3,258例）。PH组根据所使用的手术技术进一步细分：无IPTR的TAPP疝修补术（TAPP组，39例患者）和TAPP疝修补术用IPTR进行缺损闭合（TAPPIPTR组，58名患者）。
■该研究包括93名男性和4名女性PH患者。与非PH组相比,患有PH的患者通常年龄较大并且主要为男性。PH组的复发率明显高于非PH组（2.1％[97个中的2个]与0.2%[3,258中的6]，分别为；P=0.007)。在PH组中，与TAPP+IPTR组相比，TAPP组的再手术频率更高(10.3%[4/39]vs.0%[58中的0]，分别为；P=0.048）。PH组再次手术的原因包括复发（2例），网格凸起（1名患者），和慢性血清肿（1例）。
■TAPP+IPTR疝修补术是一种可接受的PH治疗方法，减少再次手术。
■分析了2014年10月至2021年12月期间因腹股沟疝接受TAPP疝修补术的3,355例患者。这些患者分为2组：PH（97例）和非PH（3,258例）。PH组根据所使用的手术技术进一步细分：无IPTR的TAPP疝修补术（TAPP组，39例患者）和TAPP疝修补术用IPTR进行缺损闭合（TAPPIPTR组，58名患者）。
■该研究包括93名男性和4名女性PH患者。与非PH组相比,患有PH的患者通常年龄较大并且主要为男性。PH组的复发率明显高于非PH组（2.1％[97个中的2个]与0.2%[3,258中的6]，分别为；P=0.007)。在PH组中，与TAPP+IPTR组相比，TAPP组的再手术频率更高(10.3%[4/39]vs.0%[58中的0]，分别为；P=0.048）。PH组再次手术的原因包括复发（2例），网格凸起（1名患者），和慢性血清肿（1例）。
■TAPP+IPTR疝修补术是一种可接受的PH治疗方法，减少再次手术。
