Comparison Study of Total Extraperitoneal Inguinal Herniorrhaphy with Open and Laparoscopic Technique_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 HUMing-gao ¹ ,  LIXiang-guo ¹ , GUOBiao ¹ , JIANGYan-yan ²

1. Department of General Surgery, The PLA Navy Anqing Hospital, Anqing 246003, Anhui Province, China;
2. School of Physics and Electronic Engineering of Anqing Normal University, Anqing 246011, Anhui Province, China;

Corresponding?author：

LIXiang-guo, Email: horselixiangguo@qq.com

Keywords：

Inguinal hernia; Laparoscope; Total extraperitoneal inguinal herniorrhaphy

DOI：

10.7507/1007-9424.20140340

Video：

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Objective To compare the clinical effect of total extraperitoneal inguinal herniorrhaphy (TEP) with open and laparoscopic technique. Methods The clinical data of 148 patients with inguinal hernia or femoral hernia in this hospital from January 2012 to July 2013 were analyzed retrospectively, in which 74 patients received TEP with open technique (open TEP group), 74 patients received TEP with laparoscopic technique (laparoscopic TEP group). Results All the operations were successfully completed.Compared with the laparoscopic TEP group, the operative time, intra-operative bleeding, and hospitalization expenses were significantly decreased in the open TEP group (P < 0.05).The post-operative exhaust time, postoperative hospital stay, and the postoperative complications rate had no significant differences between the open TEP group and the laparoscopic TEP group (P > 0.05).All the patients were followed up, no recurr-ence occurred during a 3-19 months of following-up. Conclusions TEP with open and laparoscopic technique are both safe and efficient.The open technique has the advantages of shorter operative time, lower cost, so it is worth being widely used for primary hospital.

Citation： HUMing-gao, LIXiang-guo, GUOBiao, JIANGYan-yan. Comparison Study of Total Extraperitoneal Inguinal Herniorrhaphy with Open and Laparoscopic Technique. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(11): 1431-1435. doi: 10.7507/1007-9424.20140340 Copy

1.	?雷永軍.腹外疝的治療進展(綜述)[J].中國城鄉企業衛生, 2010, 25(1):44-46.
2.	Gilbert AI.An anatomic and functional classification for the diagnosis and treatment of inguinal hernia[J].Am J Surg, 1989, 157(3):331-333.
3.	Fruchaud H.Surgical treatment of inguinal hernias in adults[J].Bull Med, 1957, 71(10):293.
4.	郭仁宣, 蘇東明.腹外疝外科治療[M].沈陽:遼寧科學技術出版社, 2003:41-44.
5.	陳雙, 戎禎祥.腹股溝疝的TEP手術[M].廣州:中山大學出版社, 2010:5-6.
6.	嚴命熔, 林琛, 熊克輝.開放式TEP修補腹股溝疝(附80例報告)[J].中國實用醫藥, 2011, 6(33):34-35.
7.	王守光, 劉忠誠, 徐建, 等.腹腔鏡完全腹膜外疝修補術解剖學標志的應用體會[J].腹腔鏡外科雜志, 2013, 18(3):186-188.
8.	鄭春寧, 孫少川, 姜永勝, 等.腹腔鏡完全腹膜外腹股溝疝修補術的臨床體會(附85例報告)[J].腹腔鏡外科雜志, 2013, 18(4):305-307.
9.	王建華, 陳翔.開放式和腹腔鏡無張力疝修補術的臨床分析[J].基層醫學論壇, 2010, 14(7):193-195.
10.	Phillips EH, Rosenthal R, Fallas M, et al.Reasons for early recurrence following laparoscopic hernioplasty[J].Surg Endosc, 1995, 9(2):140-145.
11.	Felix EL, Michas CA, Gonzalez MH Jr.Laparoscopic hernioplasty.TAPP vs TEP[J].Surg Endosc, 1995, 9(9):984-989.
12.	Read RC.The preperitoneal approach to the groin and the inferior epigastric vessels[J].Hernia, 2005, 9(1):79-83.
13.	程若川, 刁暢, 張建明, 等.從解剖和力學原理淺談腹股溝疝修補術理念的演變[J/CD].中華疝和腹壁外科雜志:電子版, 2010, 4(2):177-181.
14.	江浩, 丁銳, 姚琪遠, 等.腹股溝區腹膜前解剖和疝修補術[J].中國臨床解剖學雜志, 2008, 26(2):209-212.
15.	趙鵬, 校宏兵.腹膜前疝修補術的解剖研究及術式進展[J].解剖與臨床, 2008, 13(5):374-376.
16.	陳雙.開放式TEP疝修補術[J/CD].中華疝和腹壁外科雜志:電子版, 2010, 4(1):1-3.
17.	周軍, 張育超, 賴東明, 等.開放TEP與傳統前入路無張力修補腹股溝疝的比較[J/CD].中華疝和腹壁外科雜志:電子版, 2010, 37(2):115-120.
18.	陳雙, 陳培生.現代疝外科的新觀念[J].嶺南現代臨床外科, 2003, 3(1):7-8, 11.
19.	段石明, 李向國, 朱化剛.免氣囊分離器完全腹膜外腹腔鏡腹股溝疝修補術的臨床應用[J].現代醫學, 2009, 37(1):49-51.
20.	曾輝, 鄭本波, 李鋒, 等.腹膜前間隙在腹腔鏡TAPP及TEP疝修補術中的重要作用(附66例報道)[J].中國普外基礎與臨床雜志, 2012, 19(9):980-983.
21.	江鳴, 姜友, 汪杰, 等.腹腔鏡全腹膜外與經腹腹膜前腹股溝疝修補術的臨床對比研究[J].中國普外基礎與臨床雜志, 2013, 20(12):1391-1395.
22.	王慶濤, 李勇, 周毅, 等.腹腔鏡下無釘合腹股溝疝修補術145例體會[J].中國醫療前沿, 2013, 8(5):51-53.
23.	張小兵, 張麗, 唐世龍, 等.開放完全腹膜外腹股溝疝修補術治療成人腹股溝疝89例臨床分析[J].中華實用診斷與治療雜志, 2013, 27(2):197-199.
24.	劉圣文.開放式與腹腔鏡完全腹膜外無張力修補術治療腹股溝疝的對比研究[J].中國傷殘醫學, 2013, 21(5):116-117.
25.	劉圣文, 蔣佳福, 李愛國, 等.開放式完全腹膜外腹股溝疝修補術治療腹股溝疝51例分析[J].吉林醫學, 2013, 34(17):3397-3398.

1. ?雷永軍.腹外疝的治療進展(綜述)[J].中國城鄉企業衛生, 2010, 25(1):44-46.
2. Gilbert AI.An anatomic and functional classification for the diagnosis and treatment of inguinal hernia[J].Am J Surg, 1989, 157(3):331-333.
3. Fruchaud H.Surgical treatment of inguinal hernias in adults[J].Bull Med, 1957, 71(10):293.
4. 郭仁宣, 蘇東明.腹外疝外科治療[M].沈陽:遼寧科學技術出版社, 2003:41-44.
5. 陳雙, 戎禎祥.腹股溝疝的TEP手術[M].廣州:中山大學出版社, 2010:5-6.
6. 嚴命熔, 林琛, 熊克輝.開放式TEP修補腹股溝疝(附80例報告)[J].中國實用醫藥, 2011, 6(33):34-35.
7. 王守光, 劉忠誠, 徐建, 等.腹腔鏡完全腹膜外疝修補術解剖學標志的應用體會[J].腹腔鏡外科雜志, 2013, 18(3):186-188.
8. 鄭春寧, 孫少川, 姜永勝, 等.腹腔鏡完全腹膜外腹股溝疝修補術的臨床體會(附85例報告)[J].腹腔鏡外科雜志, 2013, 18(4):305-307.
9. 王建華, 陳翔.開放式和腹腔鏡無張力疝修補術的臨床分析[J].基層醫學論壇, 2010, 14(7):193-195.
10. Phillips EH, Rosenthal R, Fallas M, et al.Reasons for early recurrence following laparoscopic hernioplasty[J].Surg Endosc, 1995, 9(2):140-145.
11. Felix EL, Michas CA, Gonzalez MH Jr.Laparoscopic hernioplasty.TAPP vs TEP[J].Surg Endosc, 1995, 9(9):984-989.
12. Read RC.The preperitoneal approach to the groin and the inferior epigastric vessels[J].Hernia, 2005, 9(1):79-83.
13. 程若川, 刁暢, 張建明, 等.從解剖和力學原理淺談腹股溝疝修補術理念的演變[J/CD].中華疝和腹壁外科雜志:電子版, 2010, 4(2):177-181.
14. 江浩, 丁銳, 姚琪遠, 等.腹股溝區腹膜前解剖和疝修補術[J].中國臨床解剖學雜志, 2008, 26(2):209-212.
15. 趙鵬, 校宏兵.腹膜前疝修補術的解剖研究及術式進展[J].解剖與臨床, 2008, 13(5):374-376.
16. 陳雙.開放式TEP疝修補術[J/CD].中華疝和腹壁外科雜志:電子版, 2010, 4(1):1-3.
17. 周軍, 張育超, 賴東明, 等.開放TEP與傳統前入路無張力修補腹股溝疝的比較[J/CD].中華疝和腹壁外科雜志:電子版, 2010, 37(2):115-120.
18. 陳雙, 陳培生.現代疝外科的新觀念[J].嶺南現代臨床外科, 2003, 3(1):7-8, 11.
19. 段石明, 李向國, 朱化剛.免氣囊分離器完全腹膜外腹腔鏡腹股溝疝修補術的臨床應用[J].現代醫學, 2009, 37(1):49-51.
20. 曾輝, 鄭本波, 李鋒, 等.腹膜前間隙在腹腔鏡TAPP及TEP疝修補術中的重要作用(附66例報道)[J].中國普外基礎與臨床雜志, 2012, 19(9):980-983.
21. 江鳴, 姜友, 汪杰, 等.腹腔鏡全腹膜外與經腹腹膜前腹股溝疝修補術的臨床對比研究[J].中國普外基礎與臨床雜志, 2013, 20(12):1391-1395.
22. 王慶濤, 李勇, 周毅, 等.腹腔鏡下無釘合腹股溝疝修補術145例體會[J].中國醫療前沿, 2013, 8(5):51-53.
23. 張小兵, 張麗, 唐世龍, 等.開放完全腹膜外腹股溝疝修補術治療成人腹股溝疝89例臨床分析[J].中華實用診斷與治療雜志, 2013, 27(2):197-199.
24. 劉圣文.開放式與腹腔鏡完全腹膜外無張力修補術治療腹股溝疝的對比研究[J].中國傷殘醫學, 2013, 21(5):116-117.
25. 劉圣文, 蔣佳福, 李愛國, 等.開放式完全腹膜外腹股溝疝修補術治療腹股溝疝51例分析[J].吉林醫學, 2013, 34(17):3397-3398.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Comparison Study of Total Extraperitoneal Inguinal Herniorrhaphy with Open and Laparoscopic Technique

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