PDF(Pubmed)
Abstract：
UNASSIGNED: The dissection of the preperitoneal space is performed using a monopolar instrument to prevent bleeding in laparoscopic transabdominal preperitoneal hernia repair (TAPP). It may also cause energy injuries and nerve damage.
UNASSIGNED: To assess the effectiveness and safety of dissection of the preperitoneal space without electrocoagulation (DPSWE) in TAPP throughout the process.
UNASSIGNED: A retrospective analysis of data of 134 patients was made. The electrocoagulation group (EG) relied on monopolar instruments. In the non-electrocoagulation group (NEG) mainly scissors were used without electrocoagulation. The patients were followed for up for 3 months. Intraoperative and postoperative conditions and other complications were observed.
UNASSIGNED: The VAS scores in the NEG were lower than those in the EG (p < 0.05). The operation time in the NEG was shorter than that in the EG (p < 0.05). Hospitalization expenses, scrotal seroma formation, and rupture of hernia sac in the NEG were lower than those in the EG (p < 0.05). The intraoperative bleeding volume above 20 ml in the NEG was higher than that in the EG. There was no significant difference in the incidence of postoperative bleeding, vas deferens injury, intestinal injury, surgical site infection, length of hospital stay, urinary retention and hernia recurrence in the NEG and the EG (p > 0.05). There was no significant difference in the incidence of surgical site infections (SSIs) in the NEG and the EG.
UNASSIGNED: DPSWE is effective and safe. DPSWE may reduce postoperative pain and have no significant increase in postoperative bleeding.
UNASSIGNED: To assess the effectiveness and safety of dissection of the preperitoneal space without electrocoagulation (DPSWE) in TAPP throughout the process.
UNASSIGNED: A retrospective analysis of data of 134 patients was made. The electrocoagulation group (EG) relied on monopolar instruments. In the non-electrocoagulation group (NEG) mainly scissors were used without electrocoagulation. The patients were followed for up for 3 months. Intraoperative and postoperative conditions and other complications were observed.
UNASSIGNED: The VAS scores in the NEG were lower than those in the EG (p < 0.05). The operation time in the NEG was shorter than that in the EG (p < 0.05). Hospitalization expenses, scrotal seroma formation, and rupture of hernia sac in the NEG were lower than those in the EG (p < 0.05). The intraoperative bleeding volume above 20 ml in the NEG was higher than that in the EG. There was no significant difference in the incidence of postoperative bleeding, vas deferens injury, intestinal injury, surgical site infection, length of hospital stay, urinary retention and hernia recurrence in the NEG and the EG (p > 0.05). There was no significant difference in the incidence of surgical site infections (SSIs) in the NEG and the EG.
UNASSIGNED: DPSWE is effective and safe. DPSWE may reduce postoperative pain and have no significant increase in postoperative bleeding.
摘要：
■腹膜前间隙的解剖使用单极器械进行，以防止腹腔镜经腹腹膜前疝修补术（TAPP）中出血。它还可能导致能量损伤和神经损伤。
■在整个过程中评估TAPP中未进行电凝（DPSWE）的腹膜前间隙剥离的有效性和安全性。
■对134例患者的资料进行回顾性分析。电凝组（EG）依靠单极仪器。在非电凝组（NEG）中，主要使用剪刀，没有电凝法。随访3个月。观察术中、术后情况及其他并发症。
■NEG的VAS评分低于EG（p<0.05）。NEG的手术时间短于EG（p<0.05）。住院费用，阴囊血清肿形成,NEG的疝囊破裂低于EG（p<0.05）。NEG在20ml以上的术中出血量高于EG。术后出血发生率差异无统计学意义,输精管损伤,肠道损伤,手术部位感染,住院时间,NEG和EG的尿潴留和疝复发（p>0.05）。NEG和EG中手术部位感染（SSIs）的发生率没有显着差异。
■DPSWE有效且安全。DPSWE可减轻术后疼痛，术后出血无显著增加。
■在整个过程中评估TAPP中未进行电凝（DPSWE）的腹膜前间隙剥离的有效性和安全性。
■对134例患者的资料进行回顾性分析。电凝组（EG）依靠单极仪器。在非电凝组（NEG）中，主要使用剪刀，没有电凝法。随访3个月。观察术中、术后情况及其他并发症。
■NEG的VAS评分低于EG（p<0.05）。NEG的手术时间短于EG（p<0.05）。住院费用，阴囊血清肿形成,NEG的疝囊破裂低于EG（p<0.05）。NEG在20ml以上的术中出血量高于EG。术后出血发生率差异无统计学意义,输精管损伤,肠道损伤,手术部位感染,住院时间,NEG和EG的尿潴留和疝复发（p>0.05）。NEG和EG中手术部位感染（SSIs）的发生率没有显着差异。
■DPSWE有效且安全。DPSWE可减轻术后疼痛，术后出血无显著增加。
