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.	陳鑫, 李健文. 從循證醫學角度談腹腔鏡腹股溝疝修補術20年進展. 中國實用外科雜志, 2014, 5(5): 391-395.
2.	趙攀, 趙平武. 腹腔鏡全腹膜外腹股溝疝修補術補片固定方式的進展. 腹腔鏡外科雜志, 2015, 11(11): 874-877.
3.	張云, 陳鑫, 李健文, 等. 腹腔鏡腹股溝疝修補術2 056例報告. 中國實用外科雜志, 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.	周保軍, 劉津, 張國建, 等. 無釘合完全腹膜外腹腔鏡疝修補術(附32例次報告). 中國內鏡雜志, 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, 姜衛東, 朱建斌, 等. 腹腔鏡完全腹膜外腹股溝疝修補術中補片釘合固定與醫用膠固定的對照研究. 中華疝和腹壁外科雜志: 電子版, 2012, 6(2): 718-723.
9.	中華醫學會外科學分會疝和腹壁外科學組. 成人腹股溝疝診療指南. 中國實用外科雜志, 2012, 32(10): 833-835.
10.	中華醫學會外科分會腹腔鏡與內鏡外科學組, 中華醫學會外科分會疝與腹壁外科學組, 大中華腔鏡疝外科學院.腹股溝疝腹腔鏡手術規范化操作指南. 中國實用外科雜志, 2013, 33(7): 566-570.
11.	梅桂色. 腹腔鏡下完全腹膜外腹股溝疝修補術90例臨床分析. 亞太傳統醫藥, 2009, 5(11): 72-73.
12.	肖春林, 王茂林, 嚴輝弟, 等. 完全腹膜外腹腔鏡腹股溝疝修補術38例報告. 腹腔鏡外科雜志, 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, 程凱, 等. 免釘合補片腹腔鏡經腹腔腹膜前疝修補術治療腹股溝疝. 中國普通外科雜志, 2012, 21(7): 908-910.
20.	雷宇, 蔡小勇, 盧榜裕, 等. 腹腔鏡下免釘合完全腹膜外疝修補術臨床應用體會. 中華腔鏡外科雜志: 電子版, 2014, 7(3): 177-179.
21.	鐘明安, 盧愛國, 胡海, 等. 腹腔鏡免釘合經腹部分腹膜外網片植入術與經腹腹膜前修補術的療效比較. 腹腔鏡外科雜志, 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.	陳雙, 楊斌. 解讀歐洲疝學會的《成人腹股溝疝治療指南》. 外科理論與實踐, 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. 陳鑫, 李健文. 從循證醫學角度談腹腔鏡腹股溝疝修補術20年進展. 中國實用外科雜志, 2014, 5(5): 391-395.
2. 趙攀, 趙平武. 腹腔鏡全腹膜外腹股溝疝修補術補片固定方式的進展. 腹腔鏡外科雜志, 2015, 11(11): 874-877.
3. 張云, 陳鑫, 李健文, 等. 腹腔鏡腹股溝疝修補術2 056例報告. 中國實用外科雜志, 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. 周保軍, 劉津, 張國建, 等. 無釘合完全腹膜外腹腔鏡疝修補術(附32例次報告). 中國內鏡雜志, 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, 姜衛東, 朱建斌, 等. 腹腔鏡完全腹膜外腹股溝疝修補術中補片釘合固定與醫用膠固定的對照研究. 中華疝和腹壁外科雜志: 電子版, 2012, 6(2): 718-723.
9. 中華醫學會外科學分會疝和腹壁外科學組. 成人腹股溝疝診療指南. 中國實用外科雜志, 2012, 32(10): 833-835.
10. 中華醫學會外科分會腹腔鏡與內鏡外科學組, 中華醫學會外科分會疝與腹壁外科學組, 大中華腔鏡疝外科學院.腹股溝疝腹腔鏡手術規范化操作指南. 中國實用外科雜志, 2013, 33(7): 566-570.
11. 梅桂色. 腹腔鏡下完全腹膜外腹股溝疝修補術90例臨床分析. 亞太傳統醫藥, 2009, 5(11): 72-73.
12. 肖春林, 王茂林, 嚴輝弟, 等. 完全腹膜外腹腔鏡腹股溝疝修補術38例報告. 腹腔鏡外科雜志, 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, 程凱, 等. 免釘合補片腹腔鏡經腹腔腹膜前疝修補術治療腹股溝疝. 中國普通外科雜志, 2012, 21(7): 908-910.
20. 雷宇, 蔡小勇, 盧榜裕, 等. 腹腔鏡下免釘合完全腹膜外疝修補術臨床應用體會. 中華腔鏡外科雜志: 電子版, 2014, 7(3): 177-179.
21. 鐘明安, 盧愛國, 胡海, 等. 腹腔鏡免釘合經腹部分腹膜外網片植入術與經腹腹膜前修補術的療效比較. 腹腔鏡外科雜志, 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. 陳雙, 楊斌. 解讀歐洲疝學會的《成人腹股溝疝治療指南》. 外科理論與實踐, 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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