| 摘要: |
| ［摘要］ 目的 探讨改良平片在腹腔镜完全腹膜外腹股沟疝修补术（TEP）中应用的可行性与短期临床疗效。方法 回顾性分析2022年5月至2024年6月南京医科大学附属无锡人民医院腔镜外科收治的116例行TEP的腹股沟疝患者的临床资料。所有患者均在全身麻醉下行TEP，术中放置个体化修剪的嘉利平片，该改良平片适应耻骨后间隙（Retzius间隙）解剖结构。观察并记录手术时间、术中出血量、术后并发症（血清肿、慢性疼痛等）及复发情况。结果 116例患者均手术成功，手术时间（33.00±12.00）min，术中出血量（20.00±10.00）mL。术后随访3～24个月，发生血清肿9例，经保守治疗后好转；发生慢性疼痛7例，经对症处理后好转；未见复发。结论 改良平片应用于TEP中具有良好的临床可行性。随访期间未见复发，血清肿、慢性疼痛等并发症总体可控。 |
| 关键词: 改良平片 腹腔镜下完全腹膜外腹股沟疝修补术 腹股沟疝 复发 |
| DOI：10.3969/j.issn.1674-3806.2026.09.14 |
| 分类号:R 656.2 |
| 基金项目:无锡市卫生健康委科研项目（编号：M202506） |
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| Application of modified flat mesh in laparoscopic totally extraperitoneal inguinal hernia repair |
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Yan Shusheng, Hu Xingqian, Wang Tong, Miao Xiaofei
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Department of Laparoscopic Surgery, Wuxi People′s Hospital Affiliated to Nanjing Medical University, Wuxi 214023, China
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| Abstract: |
| ［Abstract］ Objective To explore the feasibility and short-term clinical efficacy of modified flat mesh in laparoscopic totally extraperitoneal inguinal hernia repair(TEP). Methods A retrospective analysis was conducted on the clinical data of 116 patients with inguinal hernia who underwent TEP in the Department of Laparoscopic Surgery of Wuxi People′s Hospital Affiliated to Nanjing Medical University from May 2022 to June 2024. All the patients underwent TEP under general anesthesia with the intraoperative placement of an individually trimmed Jiali mesh. This modified flat mesh was designed to conform to the anatomical structure of the retropubic space(space of Retzius). The operative duration, intraoperative blood loss, postoperative complications(such as seroma and chronic pain), and recurrence of hernia were observed and recorded. Results The operations were successfully performed on the 116 patients, with average operative duration of (33.00±12.00)min and intraoperative blood loss of (20.00±10.00)mL. The patients were followed up for 3 to 24 months after the operation. Among the 116 patients, 9 patients developed seroma and got improvement after conservative treatment and 7 patients developed chronic pain and got improvement after symptomatic treatment. No hernia recurrence was observed. Conclusion The modified flat mesh is clinically feasible for application in TEP. No recurrence of hernia is observed during the follow-up period, and postoperative complications such as seroma and chronic pain are generally controllable. |
| Key words: modified flat mesh laparoscopic totally extraperitoneal inguinal hernia repair(TEP) inguinal hernia recurrence |
