Xiang Guo-An, Chen Kai-Yun, Wang Han-Ning, Xiao Fang-Lian
Department of General Surgery, Second People's Hospital of Guangdong Privince, Guangzhou, China.
Nan Fang Yi Ke Da Xue Xue Bao. 2009 Mar;29(3):504-5.
To study the efficacy of laparoscopic placement of total peritoneum intraperitoneal onlay mesh (TPIPOM) for treatment of inguinal hernia.
TPIPOM was placed laparoscopically in 125 cases of inguinal hernia, and the clinical outcomes of the patients were observed and compared with 64 patients receiving transabdominal preperitoneal laparoscopic mesh repair (TAPP) and 53 with total extraperitoneal laparoscopic hernioplasty (TEP).
The laparoscopic operations were successfully performed in all the patients. In TPIPOM, TAPP and TEP groups, the operating time was 30.8-/+10.3 min, 68.4-/+22.4 min and 69.5-/+23.4 min (P<0.05), the mean hospital stay was 3.8-/+1.3 days, 4.3-/+1.5 days and 4.5-/+1.6 days (P<0.05), the average time to ambulation was 1.2-/+0.5 days, 1.8-/+0.7 days and 2.2-/+0.8 days (P<0.05), the duration of pain was 1.0-/+0.5 days, 1.6-/+0.9 days and 1.9-/+0.8 days (P<0.05), and the cost was 5000.8-/+800.5 yuan, 8000.5-/+950.6 yuan and 8900.2-/+750.3 yuan (P<0.05), respectively. No scrotum edema occurred in these patients. The patients were followed up for 59.9-/+6.5 months and recurrence was found.
TPIPOM is safe and effective for management of inguinal hernia with such advantages as minimal invasion, simple procedures, shorter operation time, reduced relapse and quick recovery.
研究腹腔镜下腹膜全层腹膜内植入补片（TPIPOM）治疗腹股沟疝的疗效。
对125例腹股沟疝患者行腹腔镜下TPIPOM植入术，观察患者的临床疗效，并与64例行腹腔镜经腹腹膜前补片修补术（TAPP）和53例行腹腔镜完全腹膜外疝修补术（TEP）的患者进行比较。
所有患者均成功完成腹腔镜手术。TPIPOM组、TAPP组和TEP组的手术时间分别为（30.8±10.3）分钟、（68.4±22.4）分钟和（69.5±23.4）分钟（P<0.05）；平均住院时间分别为（3.8±1.3）天、（4.3±1.5）天和（4.5±1.6）天（P<0.05）；平均下床活动时间分别为（1.2±0.5）天、（1.8±0.7）天和（2.2±0.8）天（P<0.05）；疼痛持续时间分别为（1.0±0.5）天、（1.6±0.9）天和（1.9±0.8）天（P<0.05）；费用分别为（5000.8±800.5）元、（8000.5±950.6）元和（8900.2±750.3）元（P<0.05）。所有患者均未出现阴囊水肿。对患者进行了（59.9±6.5）个月的随访，未发现复发。
TPIPOM治疗腹股沟疝安全有效，具有创伤小、操作简单、手术时间短、复发率低、恢复快等优点。
