A 10-year experience of totally extraperitoneal endoscopic repair for adult inguinal hernia

Hiroki Toma, Toru Eguchi, Shuichi Toyoda, Yasuhiro Okabe, Tomonari Kobarai, Gen Naritomi, Takahiro Ogawa, Ichio Hirota

研究成果: Contribution to journalArticle査読

2 被引用数 (Scopus)

抄録

Purpose: Laparoscopic surgery is fast becoming the treatment of choice for inguinal hernia. By reviewing our 10-year experience of performing totally extraperitoneal repair (TEP), we sought to establish its clinical significance in the treatment of adult inguinal hernia. Methods: We reviewed retrospectively the clinical records of patients who underwent TEP for adult inguinal hernia between January 2003 and December 2012. Results: None of the 303 patients with adult primary or recurrent inguinal hernia in our study needed TEP converted to other procedures or suffered serious complications during the procedure. A significant difference was noted in the operation time between direct (n = 32) vs indirect (n = 128) hernias in the primary unilateral inguinal hernia group (91 ± 27 vs 80 ± 32 min, p = 0.033) and between direct/direct (n = 31) vs indirect/indirect (n = 24) hernias (136 ± 58 vs 89 ± 24 min, p = 0.01) in the primary bilateral inguinal hernia group. The only postoperative complications recorded were four cases of hernia recurrence (1.3 %) and one case of chronic pain (0.3 %). Conclusions: The results obtained for TEP over 10 years support this as a promising procedure for the treatment of adult inguinal hernia.

本文言語英語
ページ(範囲)1417-1420
ページ数4
ジャーナルSurgery today
45
11
DOI
出版ステータス出版済み - 11 1 2015
外部発表はい

All Science Journal Classification (ASJC) codes

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