Comparison of Laparoscopic Total Peritoneum Intraperitoneal Onlay Mesh and Trans-Abdominal Preperitoneal Laparoscopic Mesh in Inguinal Hernioplasty_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

XIANG Guoan ¹ , CHEN Kaiyun ¹ , WANG Hanning ¹ , ZHANG Gangqing ¹ , XIAO Fanglian ¹ , CHEN Guihua ²

Department of General Surgery, The Second People’s Hospital of Guangdong Province, Guangzhou 510317, China;

Corresponding author：

Keywords：

Inguinal hernia; Laparoscope; Total peritoneum intraperitoneal onlay　mesh

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Objective 　To study the superiority and efficiency of total peritoneum intraperitoneal onlay mesh (TPIPOM) in laparoscopic inguinal hernioplasty.
Methods 　One hundred and five cases of laparoscopic inguinal hernioplasty with TPIPOM and 34 cases of inguinal hernioplasty with trans-abdominal preperitoneal laparoscopic mesh repair (TAPP) were performed from January 2002 to August 2005. Perioperative data and follow-up results were collected and compared in two groups.
Results 　The laparoscopic hernioplasty was successfully performed in all patients. The total operation time, hospital stay, average off-bed time, duration of pain in TPIPOM group were significant shorter than those in TAPP group 〔(30.8±10.3) min vs (68.4±22.4) min, (3.8±1.3) d vs (4.3±1.5) d, (1.2±0.5) d vs (1.8±0.7) d, (1.0±0.5) d vs (1.6±0.9) d, respectively〕, P＜0.01, the total hospital cost was RMB 5 000.8±800.5 in TPIPOM group and that was RMB 8 000.5±950.6 in TAPP group (P＜0.01). No significant scrotal edema was observed postoperatively and no recurrence reported during (18.6±8.9) months follow-up in both groups.
Conclusion 　Laparoscopic inguinal hernioplasty with TPIPOM is safe and efficacy with advantages of mini-invasion, simple procedures, shorter operation time, no complications and better recovery.

Citation： XIANG Guoan,CHEN Kaiyun,WANG Hanning,ZHANG Gangqing,XIAO Fanglian,CHEN Guihua. Comparison of Laparoscopic Total Peritoneum Intraperitoneal Onlay Mesh and Trans-Abdominal Preperitoneal Laparoscopic Mesh in Inguinal Hernioplasty. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2007, 14(5): 521-523. doi: Copy

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1. 　李宇洲，梁健升，姚干，等. 腹腔镜疝环口缝扎附加网片复盖治疗成人疝——附106例报告 [Ｊ]. 中国微创外科杂志, 2002； 2（4）∶224.
2. 　中华医学会外科学分会疝和腹壁外科学组. 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. 　李基业，杜俊东，姚胜，等. 无张力和传统腹股沟疝修补术患者术后内分泌应激反应比较观察 [Ｊ]. 中国普外基础与临床杂志， 2005； 12（3）∶170.
4. 　Dirksen CD, Beets GL, Go PM, et al. Bassini repair compared with laparoscopic repair for primary inguinal hernia: a randomised controlled trial [Ｊ]. Eur J Surg, 1998; 164(6)∶439.
5. 　Champault G, Barrat C, Catheline JM, et al. Inguinal hernia. 4-year follow-up of 2 comparative prospective randomized studies of Shouldice and Stoppa operations with pre-peritoneal totally laparoscopic approach (461 patients) [Ｊ]. Ann Chir, 1998; 52(2)∶132.
6. 　肖乾虎，陈建川. 716例无张力疝修补术的回顾性分析 [Ｊ]. 中国普外基础与临床杂志， 2004； 11（6）∶526.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Comparison of Laparoscopic Total Peritoneum Intraperitoneal Onlay Mesh and Trans-Abdominal Preperitoneal Laparoscopic Mesh in Inguinal Hernioplasty

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