Application of transumbilical single-port laparoscopic retrosheath approach in total extraperitoneal inguinal hernia repair

doi:10.3877/cma.j.issn.1674-3946.2023.06.020

Abstract

Abstract:

Objective

To explore the clinical application of retrosheath approach through umbilical single-port laparoscopy in totally extraperitoneal inguinal hernia repair (TEP).

Methods

80 patients with inguinal hernia treated in our hospital from January 2022 to July 2023 were randomly divided into experimental group (40 cases) and control group (40 cases). The clinical effects of the two groups were compared and analyzed by t test and χ² test.

Results

There was no significant difference in operation time between the two groups, but the patients in the experimental group had less blood loss, shorter incision length, shorter hospitalization days, lower VAS pain score, higher incision satisfaction rate and fewer postoperative complications(P<0.05).

Conclusion

Transumbilical single-port laparoscopic retrosheath approach for total extraperitoneal inguinal hernia repair is safe and effective, with the advantages of shorter hospitalization time, less injury and fewer complications, which is worthy of wide clinical application.

Key words: Hernia, Inguinal, Transumbilical Single-Port Laparoscopy, Posterior Sheath Approach, Totally Extraperitoneal Hernia Repair

Feilong Meng, Shuai Hua, Ying Zhang, Guanghai Lu. Application of transumbilical single-port laparoscopic retrosheath approach in total extraperitoneal inguinal hernia repair[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 658-660.

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References 19

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组别	例	年龄(岁)	BMI(kg/m²)	病变位置	并发症	复发疝	嵌顿疝
组别	例	年龄(岁)	BMI(kg/m²)	A/B/C	D/E/F/G	复发疝	嵌顿疝
实验组	40	45.2±15.2	20.5±6.2	14/19/7	24/9/5/2	6	8
对照组	40	44.2±15.3	20.7±5.6	15/17/8	23/7/7/3	5	7
t/χ²值		0.290	0.150	0.080	0.390	0.100	0.080
P值		0.770	0.880	0.770	0.530	0.740	0.770

组别	例	年龄(岁)	BMI(kg/m²)	病变位置	并发症	复发疝	嵌顿疝
组别	例	年龄(岁)	BMI(kg/m²)	A/B/C	D/E/F/G	复发疝	嵌顿疝
实验组	40	45.2±15.2	20.5±6.2	14/19/7	24/9/5/2	6	8
对照组	40	44.2±15.3	20.7±5.6	15/17/8	23/7/7/3	5	7
t/χ²值		0.290	0.150	0.080	0.390	0.100	0.080
P值		0.770	0.880	0.770	0.530	0.740	0.770

组别	例	手术时间（min）	术中出血量（ml）	切口长度（cm）	住院时间（d）
实验组	40	121.4±17.7	25.2±11.1	2.0±0.9	3.3±1.5
对照组	40	122.3±17.9	30.1±10.2	2.4±0.8	4.1±1.8
t值		0.226	2.056	2.101	2.031
P值		0.822	0.043	0.038	0.046

组别	例	手术时间（min）	术中出血量（ml）	切口长度（cm）	住院时间（d）
实验组	40	121.4±17.7	25.2±11.1	2.0±0.9	3.3±1.5
对照组	40	122.3±17.9	30.1±10.2	2.4±0.8	4.1±1.8
t值		0.226	2.056	2.101	2.031
P值		0.822	0.043	0.038	0.046

组别	例	VAS疼痛评分(分)	切口满意度
实验组	40	2.5±0.7	33(82.5)
对照组	40	2.1±0.9	23(57.5)
t值		2.218	5.952
P值		0.029	0.015

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