Lloyd David M, Sutton Christopher D, Altafa Aminah, Fareed Kaleel, Bloxham Lisa, Spencer Laura, Garcea Giuseppe
Department of Laparoscopic and Upper Gastrointestinal Surgery, The Leicester Royal Infirmary, Leicester.
Surg Laparosc Endosc Percutan Tech. 2008 Aug;18(4):363-8. doi: 10.1097/SLE.0b013e3181761fcc.
Chronic groin pain has an incidence of up to 6.2% and is common in people undertaking regular sports activity. A variety of surgical options exist for unresolving pain, which consist, for the most part, of a repair of the posterior abdominal wall, with or without mesh placement. We describe a new technique, which combines laparoscopic inguinal ligament tenotomy in conjunction with a mesh repair.
A retrospective analysis of the notes of 48 patients was undertaken in conjunction with a mailed questionnaire. Success of surgery was judged on return to preinjury sporting activity, severity of pain scores, frequency of pain scores, and functional limitation scores.
There were no major complications associated with the procedure. Severity of pain, frequency of pain, and functional limitation scores were all significantly improved after surgery (P=0.0012, <0.0001, and <0.0001, respectively). Ninety-two percent of patients polled returned to normal sports activity after their surgery (n=24). The median return to strenuous sports activity was 28 days (range of 14 to 40 d).
The success rates of laparoscopic tenotomy and mesh repair are comparable with the published literature and a lower median time interval before returning to preinjury sporting activity.
慢性腹股沟疼痛的发生率高达6.2%，在经常进行体育活动的人群中很常见。对于持续性疼痛存在多种手术选择，其中大部分包括修复后腹壁，有无放置补片。我们描述了一种新技术，它将腹腔镜腹股沟韧带切断术与补片修复相结合。
结合邮寄问卷对48例患者的病历进行回顾性分析。根据恢复伤前体育活动情况、疼痛评分的严重程度、疼痛评分的频率以及功能受限评分来判断手术的成功率。
该手术无重大并发症。术后疼痛严重程度、疼痛频率和功能受限评分均显著改善（P分别为0.0012、<0.0001和<0.0001）。92%接受调查的患者术后恢复了正常体育活动（n = 24）。恢复剧烈体育活动的中位时间为28天（范围14至40天）。
腹腔镜切断术和补片修复的成功率与已发表文献相当，且恢复伤前体育活动的中位时间间隔更短。
