Effect Analysis on 3DMax Patch and Plain Film Applied to TAPP Treatment of Inguinal Hernia_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 CHENChuan-qi ^1,2 ,  SUNYan ¹

1. Department Seven of General Surgery, Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, China;
2. Department of General Surgery, Baoji Central Hospital, Baoji 721008, Shaanxi Province, China;

Corresponding author：

SUNYan, Email: 13936099121@163.com

Keywords：

Groin hernia; Laparoscopic; Hernia repair; 3DMax mesh

DOI：

10.7507/1007-9424.20150319

Video：

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Objective To compare the clinical efficacy of abdominal preperitoneal laparoscopic hernia repair with 3DMax patch and plain film for treatment of inguinal hernia. Methods The clinical and follow-up survey data of 120 patients with inguinal hernia in The Second Affiliated Hospital of Harbin Medical University, between January 2009 and May 2014, which were treated by laparoscopic transabdominal preperitoneal repair (TAPP) were retrospectively analyzed. One hundred and twenty cases were divided into two groups:plain film group (45 cases) and 3DMax group (75 cases) according to the intraoperative use of different patchs. The patches of 3DMax group were not fixed, the patches of plain film group were fixed with metal nails. The postoperative clinical effect of two groups were analyzed. Results The operative time, intraoperative blood loss, and postoperative hospitalization days of two groups were no statistical significance (P > 0.05). The postoperative off bed activity time of patients in 3DMax group and plain film group was (20.2±8.1) h and (26.3±9.2) h, respectively, the average off bed activity time in 3DMax group was significantly earlier than that in plain film group (P=0.041). The material expenses and hospitalization expenses of the 3DMax group were significantly lower than those of the plain film group (P=0.001, P=0.038). The incidence of foreign body sensation of inguinal region in 1, 3, and 9 months after operation of 3DMax group were lower than those of plain film group (P=0.045). The VAS score in 1 and 3 months after operation of 3DMax group were lower than those of plain film group (P < 0.05), but there was no statistically significant in 6 months after operation of 2 groups (P > 0.05). There was no recurrence case in two groups. Conclusions The use of 3DMax patch in laparoscopic TAPP operation have more simple operation, hospitalization expenses decreased, recovery faster, postoperative inguinal nerve pain and foreign body sensation more lighter, and complications more less. It is worthy of clinical popularization and Application.

Citation： CHENChuan-qi, SUNYan. Effect Analysis on 3DMax Patch and Plain Film Applied to TAPP Treatment of Inguinal Hernia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(10): 1235-1239. doi: 10.7507/1007-9424.20150319 Copy

1.	杨喜光, 向国安.腹腔镜腹股沟疝修补术的研究进展.中华临床医师杂志:电子版, 2009, 3(6):65-68.
2.	张宇.视觉模拟评分法对腹股沟疝无张力修补术中患者疼痛的评估.湖南中医药大学学报, 2012, 32(8):37-38.
3.	Ger R, Monroe K, Duvivier R, et al. Management of indirect inguinal hernias by laparoscopic closure of the neck of the sac. Am J Surg, 1990, 159(4):370-373.
4.	黄达森.腹股沟疝的微创诊疗研究进展.微创医学, 2012, 7(5):536-538.
5.	黄涛, 张志雄, 奚廷斐.腹外疝补片材料的研究进展.生物医学工程与临床, 2014(3):296-299.
6.	Aasvang EK, Bay-Nielsen M, Kehlet H. Pain and functional impairment.
7.	years after inguinal herniorrhaphy. Hernia, 2006, 10(4):316-321.
8.	Page B, Paterson C, Young D, et al. Pain from primary inguinal hernia and the effect of repair on pain. Br J Surg, 2002, 89(10):1315-1318.
9.	Testini M, Lissidini G, Poli E, et al. A single-surgeon randomized trial comparing sutures, N-butyl-2-cyanoacrylate and human fibrin glue for mesh fixation during primary inguinal hernia repair. Can J Surg, 2010, 53(3):155-160.
10.	马颂章.成人腹股沟疝治疗探讨.中国实用外科杂志, 2014, 34(5):386-388.
11.	孙英刚.腹股沟疝修补术后慢性疼痛的发病机制及对策.中国现代普通外科进展, 2011, 14(5):374-376.
12.	Zacest AC, Magill ST, Anderson VC, et al. Long-term outcome following ilioinguinal neurectomy for chronic pain. J Neurosurg, 2010, 112(4):784-789.
13.	黄永刚, 顾卯林, 郭吕, 等.非编织聚丙烯补片免固定TAPP治疗腹股沟疝的临床应用(附60例报道).中国普外基础与临床杂志, 2015, 22(1):109-110.
14.	Powell R, Johnston M, Smith WC, et al. Psychological risk factors for chronic post-surgical pain after inguinal hernia repair surgery:a prospective cohort study. Eur J Pain, 2012, 16(4):600-610.
15.	孟令勤, 杨福全.腹股沟疝无张力修补术后慢性疼痛治疗研究.中国实用外科杂志, 2014, 34(5):419-421.
16.	Klosterhalfen B, Junge K, Klinge U. The lightweight and large porous mesh concept for hernia repair. Expert Rev Med Devices, 2005, 2(1):103-117.
17.	赵学飞, 聂玉胜, 刘静, 等.腹腔镜TAPP技术在治疗腹股沟复发疝中的应用.中国普外基础与临床杂志, 2013, 20(12):1344-1348.
18.	Memon AA, Siddiqui FG, Abro AH, et al. Management of recurrent inguinal hernia at a tertiary care hospital of southern Sindh, Pakistan. World J Surg, 2013, 37(3):510-515.
19.	Aufenacker TJ, de Lange DH, Burg MD, et al. Hernia surgery changes in the Amsterdam region 1994-2001:decrease in operations for recurrent hernia. Hernia, 2005, 9(1):46-50.
20.	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.
21.	李文君, 王正, 尹卫民.影响腹腔镜疝修补学习曲线因素的分析.中华疝和腹壁外科杂志:电子版, 2014, 8(6):534-536.
22.	Bittner R, Schmedt CG, Schwarz J, et al. Laparoscopic transperitoneal procedure for routine repair of groin hernia. Br J Surg, 2002, 89(8):1062-1066.
23.	Leibl BJ, Schmedt CG, Kraft K, et al. Scrotal hernias:a contraindication for an endoscopic procedure? Results of a single-institution experience in transabdominal preperitoneal repair. Surg Endosc, 2000, 14(3):289-292.
24.	丘敏梅, 钟德玝.腹股沟疝的病因学研究进展.现代生物医学进展, 2010, 14(10):2773-2775.
25.	陈双, 朱亮民, 傅玉如.成人腹股沟区腹横筋膜胶原含量变化与腹股沟疝发病及复发的关系.外科理论与实践, 2002, 7(6):423-425.
26.	周峰, 于鹏, 李永密.腹股沟疝个体化治疗在临床中的应用.外科理论与实践, 2014, 19(6):549-552.

1. 杨喜光, 向国安.腹腔镜腹股沟疝修补术的研究进展.中华临床医师杂志:电子版, 2009, 3(6):65-68.
2. 张宇.视觉模拟评分法对腹股沟疝无张力修补术中患者疼痛的评估.湖南中医药大学学报, 2012, 32(8):37-38.
3. Ger R, Monroe K, Duvivier R, et al. Management of indirect inguinal hernias by laparoscopic closure of the neck of the sac. Am J Surg, 1990, 159(4):370-373.
4. 黄达森.腹股沟疝的微创诊疗研究进展.微创医学, 2012, 7(5):536-538.
5. 黄涛, 张志雄, 奚廷斐.腹外疝补片材料的研究进展.生物医学工程与临床, 2014(3):296-299.
6. Aasvang EK, Bay-Nielsen M, Kehlet H. Pain and functional impairment.
7. years after inguinal herniorrhaphy. Hernia, 2006, 10(4):316-321.
8. Page B, Paterson C, Young D, et al. Pain from primary inguinal hernia and the effect of repair on pain. Br J Surg, 2002, 89(10):1315-1318.
9. Testini M, Lissidini G, Poli E, et al. A single-surgeon randomized trial comparing sutures, N-butyl-2-cyanoacrylate and human fibrin glue for mesh fixation during primary inguinal hernia repair. Can J Surg, 2010, 53(3):155-160.
10. 马颂章.成人腹股沟疝治疗探讨.中国实用外科杂志, 2014, 34(5):386-388.
11. 孙英刚.腹股沟疝修补术后慢性疼痛的发病机制及对策.中国现代普通外科进展, 2011, 14(5):374-376.
12. Zacest AC, Magill ST, Anderson VC, et al. Long-term outcome following ilioinguinal neurectomy for chronic pain. J Neurosurg, 2010, 112(4):784-789.
13. 黄永刚, 顾卯林, 郭吕, 等.非编织聚丙烯补片免固定TAPP治疗腹股沟疝的临床应用(附60例报道).中国普外基础与临床杂志, 2015, 22(1):109-110.
14. Powell R, Johnston M, Smith WC, et al. Psychological risk factors for chronic post-surgical pain after inguinal hernia repair surgery:a prospective cohort study. Eur J Pain, 2012, 16(4):600-610.
15. 孟令勤, 杨福全.腹股沟疝无张力修补术后慢性疼痛治疗研究.中国实用外科杂志, 2014, 34(5):419-421.
16. Klosterhalfen B, Junge K, Klinge U. The lightweight and large porous mesh concept for hernia repair. Expert Rev Med Devices, 2005, 2(1):103-117.
17. 赵学飞, 聂玉胜, 刘静, 等.腹腔镜TAPP技术在治疗腹股沟复发疝中的应用.中国普外基础与临床杂志, 2013, 20(12):1344-1348.
18. Memon AA, Siddiqui FG, Abro AH, et al. Management of recurrent inguinal hernia at a tertiary care hospital of southern Sindh, Pakistan. World J Surg, 2013, 37(3):510-515.
19. Aufenacker TJ, de Lange DH, Burg MD, et al. Hernia surgery changes in the Amsterdam region 1994-2001:decrease in operations for recurrent hernia. Hernia, 2005, 9(1):46-50.
20. 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.
21. 李文君, 王正, 尹卫民.影响腹腔镜疝修补学习曲线因素的分析.中华疝和腹壁外科杂志:电子版, 2014, 8(6):534-536.
22. Bittner R, Schmedt CG, Schwarz J, et al. Laparoscopic transperitoneal procedure for routine repair of groin hernia. Br J Surg, 2002, 89(8):1062-1066.
23. Leibl BJ, Schmedt CG, Kraft K, et al. Scrotal hernias:a contraindication for an endoscopic procedure? Results of a single-institution experience in transabdominal preperitoneal repair. Surg Endosc, 2000, 14(3):289-292.
24. 丘敏梅, 钟德玝.腹股沟疝的病因学研究进展.现代生物医学进展, 2010, 14(10):2773-2775.
25. 陈双, 朱亮民, 傅玉如.成人腹股沟区腹横筋膜胶原含量变化与腹股沟疝发病及复发的关系.外科理论与实践, 2002, 7(6):423-425.
26. 周峰, 于鹏, 李永密.腹股沟疝个体化治疗在临床中的应用.外科理论与实践, 2014, 19(6):549-552.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Effect Analysis on 3DMax Patch and Plain Film Applied to TAPP Treatment of Inguinal Hernia

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