Laparoscopic Totally Extraperitoneal Hernia Repair with Non-Stapling of Mesh and Without Using A Balloon Dissection (Report of 32Cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

单保安 , 洪亮 , 计小刚 , 李庆春

SHAN B ao-an , HONG L iang , JI X iao-gang , LI Q ing-chun . 〗Department of General Surgery, People’s Hospital of Dafeng City of Jiangsu Province, Dafeng 224100, ChinaCorrespongding Author: SHAN B ao-an, E-mail: dfshana@pub.yc.jsinfo.net;

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Keywords：

Laparoscope; Inguinal hernia; Laparoscopic totally extraperitoneal hernia repair

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Objective To evaluate the clinical experience and skills of laparoscopic totally extraperitoneal hernia repair with non-stapling of mesh and without using a balloon dissection in order to spread and popularize this kind of operation.
Methods Under general anesthesia, 32 patients (42 sides) with inguinal hernias were repaired by laparoscopic totally extraperitoneal hernia repair with non-stapling of mesh and without using a dissection balloon from August 2005 to December 2007.
Results All of operations were successfully performed. The operative time was 60-120 minutes, the blood loss was 20-60 ml, and the length of postoperative hospitalization was 3 days. All cases were followed up for 8 to 18 months and found no recurrence.
Conclusion Laparoscopic totally extraperitoneal hernia repair with non-stapling of mesh and without using a balloon dissection is feasible, reliable and effective, offering a low recurrence rate, while its price is higher than tension-free herniorrhaphy by traditional method.

Citation： 单保安,洪亮,计小刚,李庆春. Laparoscopic Totally Extraperitoneal Hernia Repair with Non-Stapling of Mesh and Without Using A Balloon Dissection (Report of 32Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(2): 102-104. doi: Copy

1.	Wind GG著. 曹华，李桂心，黄雄飞译. 腹腔镜腹股沟疝修补术.腹腔镜手术图谱解剖与进路 [M]. 第1版. 福州: 福建科学技术出版社， 2004： 127～141.
2.	马颂章，李基业，郑民华. 成人腹股沟疝、股疝和腹部手术切口疝手术治疗方案（2003年修订稿） [Ｊ] . 中华外科杂志， 2004； 42(14)： 834.
3.	丁锐，姚琪远，陈浩，等. 腹腔镜下无钉合全腹膜外疝修补术（附240例次报告） [Ｊ] . 中国实用外科杂志， 2007； 27(1)： 84.
4.	唐健雄. 从腹股沟解剖谈行腹股沟疝无张力修补术的必要性 [Ｊ] . 中国实用外科杂志， 2001； 21(2)： 66.
5.	李福年，周荣祥，李杨主编. 腹壁与疝外科学 [M]. 第1版. 北京: 人民卫生出版社， 2004： 210～214.
6.	Spaw AT, Ennis BW, Spaw LP. Laparoscopic hernia repair: the anatomic basis [Ｊ] . J Laparoendosc Surg, 1991; 1(5)： 269.
7.	Scott-Conner CE, Cuschieri A, Carter FJ著. 傅强，李忠主译. 微创外科解剖学 [M] . 第1版. 天津：天津科技翻译出版公司， 2002： 239～265.
8.	Qiunn TH Eds. Anatomy of the groin： a view from the anatomist. Nyhus and Condon’s Hernia [M] . 5th ed. Philadelphia: Lippincott Williams Wilkins, 2002： 55-58.
9.	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) [Ｊ] . 中国内镜杂志， 2008； 14（1）： 3.
10.	李健文，郑民华. 腹腔镜腹股沟疝修补术的临床应用与评价 [Ｊ] . 中国实用外科杂志， 2005； 25(10)： 602.
11.	Amid PK, Shulman AG, Lichtenstein IL.An analytic comparison of laparoscopic hernia repair with open “tension-free” hernioplasty [Ｊ] . Int Surg, 1995; 80(1)： 9.

1. Wind GG著. 曹华，李桂心，黄雄飞译. 腹腔镜腹股沟疝修补术.腹腔镜手术图谱解剖与进路 [M]. 第1版. 福州: 福建科学技术出版社， 2004： 127～141.
2. 马颂章，李基业，郑民华. 成人腹股沟疝、股疝和腹部手术切口疝手术治疗方案（2003年修订稿） [Ｊ] . 中华外科杂志， 2004； 42(14)： 834.
3. 丁锐，姚琪远，陈浩，等. 腹腔镜下无钉合全腹膜外疝修补术（附240例次报告） [Ｊ] . 中国实用外科杂志， 2007； 27(1)： 84.
4. 唐健雄. 从腹股沟解剖谈行腹股沟疝无张力修补术的必要性 [Ｊ] . 中国实用外科杂志， 2001； 21(2)： 66.
5. 李福年，周荣祥，李杨主编. 腹壁与疝外科学 [M]. 第1版. 北京: 人民卫生出版社， 2004： 210～214.
6. Spaw AT, Ennis BW, Spaw LP. Laparoscopic hernia repair: the anatomic basis [Ｊ] . J Laparoendosc Surg, 1991; 1(5)： 269.
7. Scott-Conner CE, Cuschieri A, Carter FJ著. 傅强，李忠主译. 微创外科解剖学 [M] . 第1版. 天津：天津科技翻译出版公司， 2002： 239～265.
8. Qiunn TH Eds. Anatomy of the groin： a view from the anatomist. Nyhus and Condon’s Hernia [M] . 5th ed. Philadelphia: Lippincott Williams Wilkins, 2002： 55-58.
9. 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) [Ｊ] . 中国内镜杂志， 2008； 14（1）： 3.
10. 李健文，郑民华. 腹腔镜腹股沟疝修补术的临床应用与评价 [Ｊ] . 中国实用外科杂志， 2005； 25(10)： 602.
11. Amid PK, Shulman AG, Lichtenstein IL.An analytic comparison of laparoscopic hernia repair with open “tension-free” hernioplasty [Ｊ] . Int Surg, 1995; 80(1)： 9.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Laparoscopic Totally Extraperitoneal Hernia Repair with Non-Stapling of Mesh and Without Using A Balloon Dissection (Report of 32Cases)

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