Preperitoneal repair for recurrent inguinal hernia: Laparoscopic and open approach

被引：37

作者：

Feliu X. ^{[1
,3
]}

Torres G. ^{[2
]}

Viñas X. ^{[1
]}

Martínez-Ródenas F. ^{[2
]}

Fernández-Sallent E. ^{[1
]}

Pie J. ^{[2
]}

机构：

[1] Department of Surgery, Hospital General d'Igualada, 08700 Barcelona

[2] Hospital Municipal de Badalona, 08911 Barcelona

[3] 08230 Matadepera, Barcelona

来源：

Hernia | 2004年 / 8卷 / 2期

关键词：

Preperitoneal repair; Recurrent inguinal hernia; TEP and open preperitoneal mesh repair;

D O I：

10.1007/s10029-003-0179-0

中图分类号：

学科分类号：

摘要：

Background: The aim of this study was to investigate the outcome of preperitoneal repair using laparoscopic (TEP) and open (OPM) approach in recurrent inguinal hernia. Methods: We performed a prospective controlled nonrandomized clinical study in 188 patients with 207 recurrent inguinal hernias over a period of 5 years. TEP repair was employed for 86 repairs, and OPM was used in 121 procedures. The main outcome measurements were: recurrence rate, operating time, hospital stay, and postoperative complications. Results: There were three recurrences (1.7%). Two in the OPM group (1.8%) and one (1.3%) in the TEP group [P = NS (not significant)]. The TEP procedure was faster than OPM for unilateral repair (40.8 vs 46.3 min) (P < 0.001). Postoperative complications were more frequent in the OPM group (23.9%) than the TEP group (13.9%) (P = NS). Hospital stay was significantly shorter in the TEP group (1.2 vs 3.9 days) (P<0.001). Conclusions: Preperitoneal approach (open or laparoscopic) seems to be a good option in recurrent inguinal hernia when these procedures are done by experienced surgeons. © Springer-Verlag 2003.

引用

页码：113 / 116

页数：3

共 26 条

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