全腹膜外疝氣修補手術於肥胖病患之成效
藍祺昀1、連繼志1、劉胤廷1、鄒凱亦1、胡書維1、陳冠州1,2、吳佳璋1,2
1行政院衛生福利部雙和醫院 泌尿科
2臺北醫學大學醫學院醫學系泌尿學科
Efficacy and outcome of TEP in patient with recurrent inguinal hernia
Kai-Yi Tzou, Chi-Chih Lien, Yin-Ting Liu, Chi-Yun Lan, Su-Wei Hu, Kuan-Chou Chen, Chia-Chang Wu
1Department of Urology, Taipei Medical University-Shuang Ho Hospital, Taipei, Taiwan
2Department of Urology, School of Medicine, College of Medicine, Taipei Medical University
Purpose
To evaluate the feasibility and surgical outcomes of totally extraperitoneal (TEP) laparoscopic inguinal herniorrhaphy compared with open inguinal hernia repair in overweight patients.
METHODS:
This is a retrospective cohort analysis. 109 consecutive patients undergoing TEP inguinal herniorrhaphy(TEP) and 116 patients undergoing open inguinal herniorrhaphy performed by a single surgeon between January 2009 and December 2012 were included. Perioperative data were obtained for all the patients including demographic data, operation time, pain scale, length of hospital stay, recurrence, and complications.
RESULTS:
For overweight patients, 54 patients of TEP group and 48 patients of open herniorrhaphy group had BMI >25. No significant differences were observed between the two groups in terms of post-operation recurrence and complications. A significant decreased of post-operation pain scale and shorter hospital stay were noted in TEP group. Within TEP group, there was no differences of all perioperative data of overweight patients compared with non-overweight patients.
CONCLUSIONS:
In the era of laparoscopy, the overall use of totally extraperitoneal (TEP) laparoscopic inguinal herniorrhaphy in obese patients has increased significantly and appears to be safe, with a shorter stay and less pain.