摘要
目的探讨在疝专科治疗中心行再次经腹腹膜前腹腔镜修补术(Re-TAPP)治疗复发性腹股沟疝的安全性和疗效。方法对中国科学技术大学附属第一医院2020年1月至2022年12月接受Re-TAPP治疗复发性腹股沟疝的患者的临床数据进行回顾性分析。收集患者的年龄、性别、病史、手术详情(手术类型、持续时间)、住院时间及术后并发症等资料,对Re-TAPP治疗复发性腹股沟疝的疗效和安全性进行评估。结果该研究共纳入14例患者,均为男性。年龄26~78岁,平均(61.0±13.2)岁。复发时间中位数为24个月,四分位间距为57个月,复发时间范围为6~120个月;手术时间为(153.4±80.4)min,住院时间中位数为4.5 d,四分位间距为1.5 d。术后并发症包括:1例血清肿,术后3个月复查时已自行吸收;3例腹壁下动脉出血,术中予以Homelock夹闭合止血。此外,1例静脉死亡冠出血,手术过程中予以Prolene线缝扎,出血被成功控制。随访期间,无术后复发病例。结论在疝专科中心行Re-TAPP治疗前次腹腔镜经腹腹膜前疝修补术(TAPP)后复发的腹股沟疝是一种安全有效的手术方法。
Objective To investigate the safety and efficacy of repeated laparoscopic trans-abdominal preperitoneal repair(Re-TAPP)in the treatment of recurrent inguinal hernia at a specialized hernia treatment center.Methods We conducted a retrospective analysis of the clinical data of patients who underwent Re-TAPP treatment for recurrent inguinal hernia in The First Affiliated Hospital of University of Science and Technology of China from January 2020 to December 2022.Data including age,gender,medical history,surgical details(surgery type,duration of surgery),length of hospital stay,and postoperative complications were collected to assess the efficacy and safety of Re-TAPP for recurrent inguinal hernia.Results The study included 14 patients,all were male,with average age of(61±13.2)years,ranging from 26 to 78.The median time of recurrence was 24(interquartile range,IQR=57)months,ranging from 6 to 120 months.The average duration of surgery was(153.4±80.4)minutes,and the median length of hospital stay was 4.5(IQR=1.5)days.Postoperative complications included:one case of seroma,which was self-absorbed on follow-up examination three months after surgery;three cases of inferior epigastric arterial bleeding which were managed through the implementation of Homelock clip hemostasis during the surgical procedure.Furthermore,one case of venous corona mortis bleeding was identified,and this was successfully controlled through the utilization of Prolene suture hemostasis during surgery.During the follow-up period,no patients were observed to have recurrence after surgery.Conclusion The recurrent inguinal hernia after previous TAPP repair can be effectively and safely treated with Re-TAPP surgery in a specialized hernia center.
作者
韦笑韩
任振
潘晨
吴立胜
Wei Xiaohan;Ren Zhen;Pan Chen;Wu Lisheng(Wannan Medical College,Wuhu 241002,Anhui,China;Bengbu Medical College,Bengbu 233030,Anhui,China;Department of Hernia and Bariatric Metabolic Surgery,the First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital),Hefei 230001,China)
出处
《中华疝和腹壁外科杂志（电子版）》
2023年第4期385-389,共5页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
基金
吴阶平医学基金会临床科研专项资助基金(320.6750.2021-03-3)
中央高校基本科研业务费专项项目(wk2340000111)
关键词
腹腔镜
疝
腹股沟
复发
疝修补术
Laparoscopic
Hernia,inguinal
Recurrence
Herniorrhaphy
