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.	楊喜光, 向國安.腹腔鏡腹股溝疝修補術的研究進展.中華臨床醫師雜志:電子版, 2009, 3(6):65-68.
2.	張宇.視覺模擬評分法對腹股溝疝無張力修補術中患者疼痛的評估.湖南中醫藥大學學報, 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.	黃達森.腹股溝疝的微創診療研究進展.微創醫學, 2012, 7(5):536-538.
5.	黃濤, 張志雄, 奚廷斐.腹外疝補片材料的研究進展.生物醫學工程與臨床, 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.	馬頌章.成人腹股溝疝治療探討.中國實用外科雜志, 2014, 34(5):386-388.
11.	孫英剛.腹股溝疝修補術后慢性疼痛的發病機制及對策.中國現代普通外科進展, 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.	黃永剛, 顧卯林, 郭呂, 等.非編織聚丙烯補片免固定TAPP治療腹股溝疝的臨床應用(附60例報道).中國普外基礎與臨床雜志, 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, 楊福全.腹股溝疝無張力修補術后慢性疼痛治療研究.中國實用外科雜志, 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.	趙學飛, 聶玉勝, 劉靜, 等.腹腔鏡TAPP技術在治療腹股溝復發疝中的應用.中國普外基礎與臨床雜志, 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, 尹衛民.影響腹腔鏡疝修補學習曲線因素的分析.中華疝和腹壁外科雜志:電子版, 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, 鐘德玝.腹股溝疝的病因學研究進展.現代生物醫學進展, 2010, 14(10):2773-2775.
25.	陳雙, 朱亮民, 傅玉如.成人腹股溝區腹橫筋膜膠原含量變化與腹股溝疝發病及復發的關系.外科理論與實踐, 2002, 7(6):423-425.
26.	周峰, 于鵬, 李永密.腹股溝疝個體化治療在臨床中的應用.外科理論與實踐, 2014, 19(6):549-552.

1. 楊喜光, 向國安.腹腔鏡腹股溝疝修補術的研究進展.中華臨床醫師雜志:電子版, 2009, 3(6):65-68.
2. 張宇.視覺模擬評分法對腹股溝疝無張力修補術中患者疼痛的評估.湖南中醫藥大學學報, 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. 黃達森.腹股溝疝的微創診療研究進展.微創醫學, 2012, 7(5):536-538.
5. 黃濤, 張志雄, 奚廷斐.腹外疝補片材料的研究進展.生物醫學工程與臨床, 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. 馬頌章.成人腹股溝疝治療探討.中國實用外科雜志, 2014, 34(5):386-388.
11. 孫英剛.腹股溝疝修補術后慢性疼痛的發病機制及對策.中國現代普通外科進展, 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. 黃永剛, 顧卯林, 郭呂, 等.非編織聚丙烯補片免固定TAPP治療腹股溝疝的臨床應用(附60例報道).中國普外基礎與臨床雜志, 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, 楊福全.腹股溝疝無張力修補術后慢性疼痛治療研究.中國實用外科雜志, 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. 趙學飛, 聶玉勝, 劉靜, 等.腹腔鏡TAPP技術在治療腹股溝復發疝中的應用.中國普外基礎與臨床雜志, 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, 尹衛民.影響腹腔鏡疝修補學習曲線因素的分析.中華疝和腹壁外科雜志:電子版, 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, 鐘德玝.腹股溝疝的病因學研究進展.現代生物醫學進展, 2010, 14(10):2773-2775.
25. 陳雙, 朱亮民, 傅玉如.成人腹股溝區腹橫筋膜膠原含量變化與腹股溝疝發病及復發的關系.外科理論與實踐, 2002, 7(6):423-425.
26. 周峰, 于鵬, 李永密.腹股溝疝個體化治療在臨床中的應用.外科理論與實踐, 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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