Clinical Study of Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair for Recurrent Inguinal Hernia after Inguinal Hernioplasty with Plug Prefix Mesh_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 FEIYu-da , ZENGYu-jian , SUNLiang , WANGKun-hua , TIANYan , SHURuo , SHICheng-min ,  LUOHua-you

Department of Gastroenterology and Hernia Surgery, The First Affiliated Hospital of Kunming Medical University, Yunnan Institute of Digestive Disease, Kunming 650032, Yunnan Province, China;

Corresponding author：

LUOHua-you, Email: km-lhy@qq.com

Keywords：

Inguinal hernia; Recurrence; Transabdominal preperitoneal hernia repair; plug prefix mesh hernia repair

DOI：

10.7507/1007-9424.20150051

Video：

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Objective To investigate the surgical skills and clinical effects of the laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair in treatment of recurrent inguinal hernia with plug prefix mesh. Methods The clinical data such as operation time, intraoperative blood loss, postoperative hospital stay, and postoperative complications of 87 patients with recurrent inguinal hernia reoperated in laparoscopic TAPP after inguinal hernioplasty with plug prefix mesh (recurrent hernia group), in the Department of Gastroenterology and Hernia surgery of the First Affiliated Hospital of Kunming Medical University from January 2011 to December 2013, were retrospectively analyzed, which were compared with the 834 incipient inguinal hernia patients operated first by TAPP (incipient hernia group) at the same time. Results The operations were completed successfully in all of the 921 patients without conversion to open surgery. The operation time and intraoperative blood loss in the recurrent hernia group were significantly more than those in the incipient hernia group (P=0.000, P=0.000), the postoperative hospital stay had no signifcant difference between two groups (P=0.057). No recurrences were observed in the recurrent hernia group and incipient hernia group for following-up of (31±4) months and (28±6) months, respectively. Compared with the incipient hernia group, the rates of postoperative pain on day 30 and seroma on day 1 and 3 were higher in the recurrent hernia group (P=0.001, P=0.040, P=0.003, respectively). There were no severe complications such as collateral damage, foreign body sensation, incision infection, intestinal obstruction and so on in the two groups. Conclusions The laparoscopic TAPP inguinal hernia repair is safe and effective for patients with recurrent inguinal hernia with plug prefix mesh. More skills are required to reduce the complications. The operation time and intraoperative blood loss in reoperated patients with recurrent inguinal hernia are more than those in patients with incipient inguinal hernia. The rates of seroma on day 1 and 3 are also higher.

Citation： FEIYu-da, ZENGYu-jian, SUNLiang, WANGKun-hua, TIANYan, SHURuo, SHICheng-min, LUOHua-you. Clinical Study of Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair for Recurrent Inguinal Hernia after Inguinal Hernioplasty with Plug Prefix Mesh. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(2): 186-189. doi: 10.7507/1007-9424.20150051 Copy

1.	Richards SK, Vipond MN, Earnshaw JJ. Review of the management of recurrent inguinal hernia. Hernia, 2004, 8(2): 144-148.
2.	储修峰, 郭绍红.英国国家临床技术研究院腹腔镜疝修补术技术指南.中国微创外科杂志, 2007, 7(12): 1132-1134.
3.	Nordin P, van der Linden W. Volume of procedures and risk of recurrence after repair of groin hernia: National register study. BMJ, 2008, 336(7650): 934-937.
4.	张云, 王映昌, 李健文, 等.腹腔镜腹股沟疝修补术后复发的原因及再手术治疗.上海医学, 2011, 34(11): 869-872.
5.	唐健雄.无张力疝修补手术后复发与手术者的相关因素.临床外科杂志, 2006, 14(11): 686-687.
6.	Phillips EH, Rosenthal R, Fallas M, et al. Reasons for early recurrence following laparoscopic hernioplasty. Surg Endosc, 1995, 9(2): 140-145.
7.	Valenti G, Baldassarre E, Testa A, et al. Dynamic self-regulating prosthesis (protesi autoregolantesi dinamica): the long-term results in the treatment of primary inguinal hernias. Am Surg, 2006, 72(3): 244-248.
8.	Ruhl CE, Everhart JE. Risk factors for inguinal hernia among adults in the US population. Am J Epidemiol, 2007, 165(10): 1154-1161.
9.	Junge K, Rosch R, Klinge U, et al. Risk factors related to recurrence in inguinal hernia repair: a retrospective analysis. Hernia, 2006, 10(4): 309-315.
10.	Nordin P, Haapaniemi S, van der Linden W, et al. Choice of anesthesia and risk of reoperation for recurrence in groin hernia repair. Ann Surg, 2004, 240(1): 187-192.
11.	赵渝, 时德.疝环充填式无张力疝修补术后复发疝的再手术探讨.中华普通外科杂志, 2006, 21(7): 517-518, 522.
12.	杨斌, 张育超, 陈国星, 等.腹股沟疝术后复发因素及再手术106例分析.中华普外科手术学杂志:电子版, 2007, 1(2): 38-40.
13.	Bisgaard T, Bay-Nielsen M, Kehlet H. Re-recurrence after operation for recurrent inguinal hernia. A nationwide 8-year follow-up study on the role of type of repair. Ann surg, 2008, 247(4): 707-711.
14.	赵学飞, 申英末, 陈杰, 等.腹股沟疝无张力修补术中补片固定方式的演变与进展.中华疝和腹壁外科杂志:电子版, 2012, 6(3): 817-821.
15.	赵学飞, 田茂霖, 聂玉胜, 等.腹腔镜经腹腔腹膜前疝修补术治疗腹股沟复发疝的临床体会.腹腔镜外科杂志, 2012, 17(10): 758-761.
16.	李健文, 王明刚, 唐健雄, 等.腹股沟疝腹腔镜手术规范化操作指南.腹腔镜外科杂志, 2013, 7(10): 793-800.

1. Richards SK, Vipond MN, Earnshaw JJ. Review of the management of recurrent inguinal hernia. Hernia, 2004, 8(2): 144-148.
2. 储修峰, 郭绍红.英国国家临床技术研究院腹腔镜疝修补术技术指南.中国微创外科杂志, 2007, 7(12): 1132-1134.
3. Nordin P, van der Linden W. Volume of procedures and risk of recurrence after repair of groin hernia: National register study. BMJ, 2008, 336(7650): 934-937.
4. 张云, 王映昌, 李健文, 等.腹腔镜腹股沟疝修补术后复发的原因及再手术治疗.上海医学, 2011, 34(11): 869-872.
5. 唐健雄.无张力疝修补手术后复发与手术者的相关因素.临床外科杂志, 2006, 14(11): 686-687.
6. Phillips EH, Rosenthal R, Fallas M, et al. Reasons for early recurrence following laparoscopic hernioplasty. Surg Endosc, 1995, 9(2): 140-145.
7. Valenti G, Baldassarre E, Testa A, et al. Dynamic self-regulating prosthesis (protesi autoregolantesi dinamica): the long-term results in the treatment of primary inguinal hernias. Am Surg, 2006, 72(3): 244-248.
8. Ruhl CE, Everhart JE. Risk factors for inguinal hernia among adults in the US population. Am J Epidemiol, 2007, 165(10): 1154-1161.
9. Junge K, Rosch R, Klinge U, et al. Risk factors related to recurrence in inguinal hernia repair: a retrospective analysis. Hernia, 2006, 10(4): 309-315.
10. Nordin P, Haapaniemi S, van der Linden W, et al. Choice of anesthesia and risk of reoperation for recurrence in groin hernia repair. Ann Surg, 2004, 240(1): 187-192.
11. 赵渝, 时德.疝环充填式无张力疝修补术后复发疝的再手术探讨.中华普通外科杂志, 2006, 21(7): 517-518, 522.
12. 杨斌, 张育超, 陈国星, 等.腹股沟疝术后复发因素及再手术106例分析.中华普外科手术学杂志:电子版, 2007, 1(2): 38-40.
13. Bisgaard T, Bay-Nielsen M, Kehlet H. Re-recurrence after operation for recurrent inguinal hernia. A nationwide 8-year follow-up study on the role of type of repair. Ann surg, 2008, 247(4): 707-711.
14. 赵学飞, 申英末, 陈杰, 等.腹股沟疝无张力修补术中补片固定方式的演变与进展.中华疝和腹壁外科杂志:电子版, 2012, 6(3): 817-821.
15. 赵学飞, 田茂霖, 聂玉胜, 等.腹腔镜经腹腔腹膜前疝修补术治疗腹股沟复发疝的临床体会.腹腔镜外科杂志, 2012, 17(10): 758-761.
16. 李健文, 王明刚, 唐健雄, 等.腹股沟疝腹腔镜手术规范化操作指南.腹腔镜外科杂志, 2013, 7(10): 793-800.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Study of Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair for Recurrent Inguinal Hernia after Inguinal Hernioplasty with Plug Prefix Mesh

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