全腹膜外疝氣修補手術於復發型腹股溝疝氣之成效
鄒凱亦1、高偉棠1、江怡德1、劉家宏1、何承勳1、陳冠州1,2、吳佳璋1,2
台北醫學大學-部立雙和醫院泌尿科1
台北醫學大學醫學院醫學系泌尿學科2
Efficacy and outcome of total extraperitoneal herniorrhaphy (TEP) in patients with recurrent inguinal hernia
Kai-Yi Tzou1, Wei-Tang Kao1, Yi-Te Chiang1, Chia-Hung Liu1, Chen-Hsun Ho1, Chen Kuan-Chou Chen1,2, Chia-Chang Wu1,2
1Department of Urology, Taipei Medical University-Shuang Ho Hospital, Taipei, Taiwan
2Department of Urology, School of Medicine, College of Medicine,
Taipei Medical University, Taipei, Taiwan
Purpose
This study aimed to evaluate the efficacy and outcome of total extraperitoneal (TEP) herniorrhaphy in patients with recurrent inguinal hernia.
METHODS:
Between January 2009 and September 2014, 472 patients underwent TEP henriorrhaphy for inguinal hernia. In this cohort, 38 patients who ever received previous traditional open herniorrhaphy were defined as study group. For the comparison group, 76 patients who did not have previous hernia repair history were randomly selected to match the study group in terms of age, sex and laterality of inguinal hernia. Perioperative data including patients’ demographics, operative time, pain scale, conversions, length of hospital stay, recurrence, and complications were recorded and analyzed.
RESULTS:
In this study, the mean follow-up period were 24.5 months (7-66). The operative time in study group and comparison group were 99.7 and 90.2 minutes, respectively (p=0.8). The pain scale was higher in study group than that in comparison group, but not significant (2.8 vs. 2.3, p=0.7). No conversion was needed in both groups. The patients in both groups could discharge on the first postoperative day, without exceptions. The hernia recurrence rate were similar between study group and comparison group (p=0.7), so as the complication rates (p=0.2).
CONCLUSIONS:
TEP herniorrhaphy for patients with recurrent inguinal hernia is safe and effective. In this study, no significant differences were observed between the two groups in terms of operating time, pain scale, analgesic use, hospital stay and complications.