The Clinical Application of Total Extraperitoneal Inguinal Herniorrhaphy with Laparo-scopic Technique Using An Innovative Self-Gripping Mesh_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 CHENShi-de ,  LIXiang-guo , WANGXiao-feng , YUZai-bin

Department of General Surgery, The PLA Navy Anqing Hospital, Anqing 246000, Anhui Province, China;

Corresponding author：

LIXiang-guo, Email: horselixiangguo@126.com

Keywords：

self-gripping mesh; Inguinal hernia; Laparoscopy; Total extraperitoneal inguinal herniorrhaphy

DOI：

10.7507/1007-9424.20160084

Video：

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Objective To compare the efficiency of total extraperitoneal inguinal herniorrhaphy with laparoscopic technique using an innovative self-gripping mesh and polypropylene mesh. Methods The clinical data of 142 cases of unilateral inguinal hernia who underwent total extraperitoneal prosthesis (TEP) in our hospital form June 2012 to March 2015 were retrospectively analyzed. the operation type was total extraperitoneal inguinal herniorrhaphy with laparoscopic technique. Depending on the kind of mesh, all patients were divided into two groups from the self-gripping mesh group (n=60) and the polypropylene mesh group (n=82). Results There was no significant difference in the operation time, intraoperative blood loss, hospital stay, and The Visual Analogue Score of post-operative (at 12, 24, 48, and 72 hours after operation) between the 2 groups (P>0.05). On the post-operative complications, there was no significant difference in incidences of total complication, scrotal edema, seroma, bladder injury, vascular injury of abdominal, and urinary reten-tion too (P>0.05). All the patients were followed up for 3-36 months (the median time was 19-month), and no recurrence occurred during the follow-up period. Conclusion Innovative self-gripping mesh is safe and effective, and maybe a good direction of mesh for material development.

Citation： CHENShi-de, LIXiang-guo, WANGXiao-feng, YUZai-bin. The Clinical Application of Total Extraperitoneal Inguinal Herniorrhaphy with Laparo-scopic Technique Using An Innovative Self-Gripping Mesh. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(3): 315-318. doi: 10.7507/1007-9424.20160084 Copy

1.	陈鑫, 李健文. 从循证医学角度谈腹腔镜腹股沟疝修补术20年进展. 中国实用外科杂志, 2014, 5(5): 391-395.
2.	赵攀, 赵平武. 腹腔镜全腹膜外腹股沟疝修补术补片固定方式的进展. 腹腔镜外科杂志, 2015, 11(11): 874-877.
3.	张云, 陈鑫, 李健文, 等. 腹腔镜腹股沟疝修补术2 056例报告. 中国实用外科杂志, 2012, 6(6): 462-466.
4.	Choi YY, Kim Z, Hur KY. Learning curve for laparoscopic totally extraperitoneal repair of inguinal hernia. Can J Surg, 2012, 55(1): 33-36.
5.	周保军, 刘津, 张国建, 等. 无钉合完全腹膜外腹腔镜疝修补术(附32例次报告). 中国内镜杂志, 2008, 14(1): 3-6.
6.	Kaul A, Hutfless S, Le H, et al. Staple versus fibrin glue fixation in laparoscopic total extraperitoneal repair of inguinal hernia: a systematic review and meta-analysis. Surg Endosc, 2012, 26(5): 1269-1278.
7.	Belyansky I, Tsirline VB, Klima DA, et al. Prospective, comparative study of postoperative quality of life in TEP, TAPP, and modified Lichtenstein repairs. Ann Surg, 2011, 254(5): 709-715.
8.	朱雷明, 姜卫东, 朱建斌, 等. 腹腔镜完全腹膜外腹股沟疝修补术中补片钉合固定与医用胶固定的对照研究. 中华疝和腹壁外科杂志: 电子版, 2012, 6(2): 718-723.
9.	中华医学会外科学分会疝和腹壁外科学组. 成人腹股沟疝诊疗指南. 中国实用外科杂志, 2012, 32(10): 833-835.
10.	中华医学会外科分会腹腔镜与内镜外科学组, 中华医学会外科分会疝与腹壁外科学组, 大中华腔镜疝外科学院.腹股沟疝腹腔镜手术规范化操作指南. 中国实用外科杂志, 2013, 33(7): 566-570.
11.	梅桂色. 腹腔镜下完全腹膜外腹股沟疝修补术90例临床分析. 亚太传统医药, 2009, 5(11): 72-73.
12.	肖春林, 王茂林, 严辉弟, 等. 完全腹膜外腹腔镜腹股沟疝修补术38例报告. 腹腔镜外科杂志, 2011, 16(1): 24-26.
13.	Wauschkuhn CA, Schwarz J, Boekeler U, et al. Laparoscopic inguinal hernia repair: gold standard in bilateral hernia repair? Results of more than 2 800 patients in comparison to literature. SurgEndosc, 2010, 24(12): 3026-3030.
14.	Lichtenstein IL, Shulman AG, Amid PK, et al. The tension-free heminplasty. Am J Surg, 1989, 157(2): 188-193.
15.	Toy FK. Smoot RT Jr. Toy-Smooth laparoscopic hernioplasty. Surg Laparosc Endosc, 1991, 1(3): 151-155.
16.	Dion YM, Morin J. Laparoscopic inguinal herniorrhaphy. Can J Surg, 1992, 35(2): 209-212.
17.	McKernan JB, Laws HL. Laparoscopic repair of inguinal hernias using a totally extraperitoneal prosthetic approach. Surg Endosc, 1993, 7(1): 26-28.
18.	Bittner R, Arregui ME, Bisgaard T, et al. Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)]. Surg Endosc, 2011, 25(9): 2773-2843.
19.	周少波, 褚亮, 程凯, 等. 免钉合补片腹腔镜经腹腔腹膜前疝修补术治疗腹股沟疝. 中国普通外科杂志, 2012, 21(7): 908-910.
20.	雷宇, 蔡小勇, 卢榜裕, 等. 腹腔镜下免钉合完全腹膜外疝修补术临床应用体会. 中华腔镜外科杂志: 电子版, 2014, 7(3): 177-179.
21.	钟明安, 卢爱国, 胡海, 等. 腹腔镜免钉合经腹部分腹膜外网片植入术与经腹腹膜前修补术的疗效比较. 腹腔镜外科杂志, 2013, 18(10): 725-727.
22.	Linderoth G, Kehlet H, Aasvang EK, et al. Neurophysiological characterization of persistent pain after laparoscopic inguinal hernia repair. Hernia, 2011, 15(5): 521-529.
23.	陈双, 杨斌. 解读欧洲疝学会的《成人腹股沟疝治疗指南》. 外科理论与实践, 2010, 15(6): 668-670.
24.	Kingsnorth A, Gingell-Littlejohn M, Nienhuijs S, et al. Randomized controlled multicenter international clinical trial of self-gripping ParietexTM ProGripTM polyester mesh versus lightweight polypropylene mesh in open inguinal hernia repair: interim results at 3 months. Hernia, 2012, 16(3): 287-294.
25.	Chastan P. Tension-free open hernia repair using an innovative self-gripping semi-resorbable mesh. Hernia, 2009, 13(2): 137-142.
26.	Birk D, Hess S, Garcia-Pardo C. Low recurrence rate and low chronic pain associated with inguinal hernia repair by laparoscopic placement of Parietex ProGripTM mesh: clinical outcomes of 220 hernias with mean follow-up at 23 months. Hernia, 2013, 17(3): 313-320.

1. 陈鑫, 李健文. 从循证医学角度谈腹腔镜腹股沟疝修补术20年进展. 中国实用外科杂志, 2014, 5(5): 391-395.
2. 赵攀, 赵平武. 腹腔镜全腹膜外腹股沟疝修补术补片固定方式的进展. 腹腔镜外科杂志, 2015, 11(11): 874-877.
3. 张云, 陈鑫, 李健文, 等. 腹腔镜腹股沟疝修补术2 056例报告. 中国实用外科杂志, 2012, 6(6): 462-466.
4. Choi YY, Kim Z, Hur KY. Learning curve for laparoscopic totally extraperitoneal repair of inguinal hernia. Can J Surg, 2012, 55(1): 33-36.
5. 周保军, 刘津, 张国建, 等. 无钉合完全腹膜外腹腔镜疝修补术(附32例次报告). 中国内镜杂志, 2008, 14(1): 3-6.
6. Kaul A, Hutfless S, Le H, et al. Staple versus fibrin glue fixation in laparoscopic total extraperitoneal repair of inguinal hernia: a systematic review and meta-analysis. Surg Endosc, 2012, 26(5): 1269-1278.
7. Belyansky I, Tsirline VB, Klima DA, et al. Prospective, comparative study of postoperative quality of life in TEP, TAPP, and modified Lichtenstein repairs. Ann Surg, 2011, 254(5): 709-715.
8. 朱雷明, 姜卫东, 朱建斌, 等. 腹腔镜完全腹膜外腹股沟疝修补术中补片钉合固定与医用胶固定的对照研究. 中华疝和腹壁外科杂志: 电子版, 2012, 6(2): 718-723.
9. 中华医学会外科学分会疝和腹壁外科学组. 成人腹股沟疝诊疗指南. 中国实用外科杂志, 2012, 32(10): 833-835.
10. 中华医学会外科分会腹腔镜与内镜外科学组, 中华医学会外科分会疝与腹壁外科学组, 大中华腔镜疝外科学院.腹股沟疝腹腔镜手术规范化操作指南. 中国实用外科杂志, 2013, 33(7): 566-570.
11. 梅桂色. 腹腔镜下完全腹膜外腹股沟疝修补术90例临床分析. 亚太传统医药, 2009, 5(11): 72-73.
12. 肖春林, 王茂林, 严辉弟, 等. 完全腹膜外腹腔镜腹股沟疝修补术38例报告. 腹腔镜外科杂志, 2011, 16(1): 24-26.
13. Wauschkuhn CA, Schwarz J, Boekeler U, et al. Laparoscopic inguinal hernia repair: gold standard in bilateral hernia repair? Results of more than 2 800 patients in comparison to literature. SurgEndosc, 2010, 24(12): 3026-3030.
14. Lichtenstein IL, Shulman AG, Amid PK, et al. The tension-free heminplasty. Am J Surg, 1989, 157(2): 188-193.
15. Toy FK. Smoot RT Jr. Toy-Smooth laparoscopic hernioplasty. Surg Laparosc Endosc, 1991, 1(3): 151-155.
16. Dion YM, Morin J. Laparoscopic inguinal herniorrhaphy. Can J Surg, 1992, 35(2): 209-212.
17. McKernan JB, Laws HL. Laparoscopic repair of inguinal hernias using a totally extraperitoneal prosthetic approach. Surg Endosc, 1993, 7(1): 26-28.
18. Bittner R, Arregui ME, Bisgaard T, et al. Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)]. Surg Endosc, 2011, 25(9): 2773-2843.
19. 周少波, 褚亮, 程凯, 等. 免钉合补片腹腔镜经腹腔腹膜前疝修补术治疗腹股沟疝. 中国普通外科杂志, 2012, 21(7): 908-910.
20. 雷宇, 蔡小勇, 卢榜裕, 等. 腹腔镜下免钉合完全腹膜外疝修补术临床应用体会. 中华腔镜外科杂志: 电子版, 2014, 7(3): 177-179.
21. 钟明安, 卢爱国, 胡海, 等. 腹腔镜免钉合经腹部分腹膜外网片植入术与经腹腹膜前修补术的疗效比较. 腹腔镜外科杂志, 2013, 18(10): 725-727.
22. Linderoth G, Kehlet H, Aasvang EK, et al. Neurophysiological characterization of persistent pain after laparoscopic inguinal hernia repair. Hernia, 2011, 15(5): 521-529.
23. 陈双, 杨斌. 解读欧洲疝学会的《成人腹股沟疝治疗指南》. 外科理论与实践, 2010, 15(6): 668-670.
24. Kingsnorth A, Gingell-Littlejohn M, Nienhuijs S, et al. Randomized controlled multicenter international clinical trial of self-gripping ParietexTM ProGripTM polyester mesh versus lightweight polypropylene mesh in open inguinal hernia repair: interim results at 3 months. Hernia, 2012, 16(3): 287-294.
25. Chastan P. Tension-free open hernia repair using an innovative self-gripping semi-resorbable mesh. Hernia, 2009, 13(2): 137-142.
26. Birk D, Hess S, Garcia-Pardo C. Low recurrence rate and low chronic pain associated with inguinal hernia repair by laparoscopic placement of Parietex ProGripTM mesh: clinical outcomes of 220 hernias with mean follow-up at 23 months. Hernia, 2013, 17(3): 313-320.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

The Clinical Application of Total Extraperitoneal Inguinal Herniorrhaphy with Laparo-scopic Technique Using An Innovative Self-Gripping Mesh

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