Bilateral inguinal hernia repair: laparoscopic or open approach?

被引：52

作者：

Feliu, X. ^{[1
]}

Claveria, R. ^{[1
]}

Besora, P. ^{[1
]}

Camps, J. ^{[1
]}

Fernandez-Sallent, E. ^{[1
]}

Vinas, X. ^{[1
]}

Abad, J. M. ^{[1
]}

机构：

[1] Hosp Gen Igualada, Dept Gen & Laparoscop Surg, Barcelona 08700, Spain

来源：

HERNIA | 2011年 / 15卷 / 01期

关键词：

Bilateral inguinal hernia; Laparoscopic hernia repair; TOTALLY EXTRAPERITONEAL REPAIR; TENSION-FREE; GROIN HERNIAS; CONTROVERSIES; PREPERITONEAL;

D O I：

10.1007/s10029-010-0736-2

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The aim of this study was to investigate outcomes in the treatment of bilateral inguinal hernia, comparing the laparoscopic totally extraperitoneal (TEP) and open tension-free mesh repair (LICHT) approaches. We performed a prospective controlled non randomized clinical study in 128 patients with bilateral inguinal hernia over a period of 3 years. LICHT was used in 106 cases (53 patients) while TEP was employed in 150 cases (75 patients). The main outcome measurements were: recurrence rate, operating time, hospital stay and postoperative complications. There were three recurrences (2.3%): two in the LICHT group (3.8%) and one (1.3%) in the TEP group P = NS. The TEP procedure was faster than LICHT repair (48.8 +/- A 10.8 vs. 70.4 +/- A 11.2 min) P < 0.01. Postoperative complications were more frequent in LICHT group (16%) than TEP group (5.3%) P < 0.01. Hospital stay was significantly shorter in the TEP group (0.6 +/- A 0.8 vs. 1.3 +/- A 1.2 days) P < 0.001. The TEP approach is an effective option for the treatment of bilateral inguinal hernia when performed by experienced surgeons.

引用

页码：15 / 18

页数：4

共 26 条

[1] Simultaneous repair of bilateral inguinal hernias under local anesthesia [J].

Amid, PK ;

Shulman, AG ;

Lichtenstein, IL .

ANNALS OF SURGERY, 1996, 223 (03) :249-252

[2] Groin hernia repair by laparoscopic techniques: Current status and controversies [J].

Arregui, ME ;

Young, SB .

WORLD JOURNAL OF SURGERY, 2005, 29 (08) :1052-1057

[3]

Berndsen F, 2001, Hernia, V5, P192

[4] Comparison of laparoscopic and open tension-free repair of recurrent inguinal hernias: a prospective randomized study [J].

Dedemadi, G. ;

Sgourakis, G. ;

Karaliotas, C. ;

Christofides, T. ;

Kouraklis, G. ;

Karaliotas, C. .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2006, 20 (07) :1099-1104

[5] Preperitoneal repair for recurrent inguinal hernia: Laparoscopic and open approach [J].

Feliu X. ;

Torres G. ;

Viñas X. ;

Martínez-Ródenas F. ;

Fernández-Sallent E. ;

Pie J. .

Hernia, 2004, 8 (2) :113-116

[6]

Feliu X, 2004, J LAPAROENDOSC ADV A, V14, P362, DOI 10.1089/1092642042728111

[7] Stoppa procedure in bilateral inguinal hernia [J].

Fernández-Lobato R. ;

Tartas-Ruiz A. ;

Jiménez-Miramón F.J. ;

Marín-Lucas F.J. ;

de Adana-Belbel J.C.R. ;

Esteban M.L. .

Hernia, 2006, 10 (2) :179-183

[8]

Fischer S, 1999, Hernia, V3, P89

[9]

Frankum CE, 1999, AM SURGEON, V65, P839

[10] Bilateral inguinal hernia prosthetic repair: laparoscopic approach versus Stoppa's technique. [J].

Gainant, A ;

Geballa, R ;

Bouvier, S ;

Cubertafond, P ;

Mathonnet, M .

ANNALES DE CHIRURGIE, 2000, 125 (06) :560-565

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