Lomanto Davide, Katara Avinash N
Department of Surgery, Minimally Invasive Surgical Centre, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
J Minim Access Surg. 2006 Sep;2(3):165-70. doi: 10.4103/0972-9941.27732.
Laparoscopic inguinal hernia repairs are looked upon as technically demanding procedures having have a stiff 'learning curve' associated with its performance in terms of clinical outcome and patient's satisfaction. Complication rates have been shown to drop with increased surgical experience. The complication rate for laparoscopic repair of inguinal hernia ranges from less than 3% to as high as 20%. Complications of a totally extraperitoneal (TEP) repair include general complications that occur with any surgical procedure and anesthesia, mesh-related complications and those specific to the TEP procedure, like visceral injury, vascular injury, nerve injury and injury to the cord. Intraoperative complications can occur at every step of the operation, even though some of them are only occasionally reported. However, it is important to analyze all of them chronologically, so that we can define methods to prevent them or tackle them if they occur. Risk reduction strategies are required to improve the clinical outcome of TEP and this must be adopted for each individual surgical step.
腹腔镜腹股沟疝修补术被视为技术要求较高的手术，在临床结果和患者满意度方面，其实施存在陡峭的“学习曲线”。研究表明，随着手术经验的增加，并发症发生率会下降。腹腔镜腹股沟疝修补术的并发症发生率从不到3%到高达20%不等。完全腹膜外（TEP）修补术的并发症包括任何外科手术和麻醉都会出现的一般并发症、与补片相关的并发症以及TEP手术特有的并发症，如内脏损伤、血管损伤、神经损伤和精索损伤。术中并发症可能发生在手术的每一个步骤，尽管其中一些仅偶尔有报道。然而，按时间顺序分析所有这些并发症很重要，以便我们能够确定预防它们的方法，或者在它们发生时加以处理。需要采取降低风险策略来改善TEP的临床结果，并且必须针对每个手术步骤采用这些策略。
