McCloud J M, Evans D S
Department of General Surgery, The Royal Shrewsbury Hospital NHS Trust, Mytton Oak Road, Shrewsbury, Shropshire SY3 8XQ, United Kingdom.
Surg Endosc. 2003 Mar;17(3):491-3. doi: 10.1007/s00464-002-9093-2. Epub 2002 Nov 6.
Laparoscopic groin hernia repair has been shown to be a safe, well-tolerated procedure. Here, we report a series of patients who underwent laparoscopic transabdominal preperitoneal (TAPP) mesh repair as day cases.
We performed 984 repairs on 769 patients, 218 had bilateral repairs. Mean operating time was 25 min for unilateral and 38 min for bilateral repairs. Three were converted, and 39 required admission. Five were readmitted more than 48 h postoperatively. Three required reoperation for small bowel obstruction from herniation through a peritoneal defect. Only 57% of patients required analgesia for a mean of 1.9 days after discharge. Recovery times were similar for unilateral and bilateral herniae. Eight hernias have recurred to date.
Laparoscopic hernia repair is suitable for day-case surgery for unilateral, bilateral, and recurrent herniae. TAPP repair allows inspection of the contralateral groin, with repair of defects as necessary.
腹腔镜腹股沟疝修补术已被证明是一种安全、耐受性良好的手术。在此，我们报告一系列作为日间手术接受腹腔镜经腹腹膜前（TAPP）补片修补术的患者。
我们对769例患者进行了984次修补术，其中218例为双侧修补。单侧修补的平均手术时间为25分钟，双侧修补为38分钟。3例中转开腹，39例需要住院。5例在术后48小时以上再次入院。3例因疝入腹膜缺损导致小肠梗阻而需要再次手术。出院后仅57%的患者需要平均1.9天的镇痛。单侧和双侧疝的恢复时间相似。迄今为止，有8例疝复发。
腹腔镜疝修补术适用于单侧、双侧和复发性疝的日间手术。TAPP修补术可检查对侧腹股沟，并在必要时修补缺损。
