Department of Surgery, Soonchunhyang University Hospital, Seoul 140-743, Korea.
Surg Today. 2013 Jun;43(6):603-7. doi: 10.1007/s00595-012-0276-8. Epub 2012 Aug 1.
Mesh fixation is essential in laparoscopic total extraperitoneal (TEP) repair of inguinal hernia; however, fixation sometimes causes post-operative pain. This study investigated a novel method of laparoscopic TEP repair without mesh fixation.
This study reviewed data from about two-hundred and forty-one laparoscopic TEP repairs on 219 patients, which were performed between December 2004 and October 2005.
There were no statistically significant differences in the recurrence rate, seroma formation, and hospital stay. However, the mean operation time was shorter in the internal plug mesh group than the fixation group (p = 0.009), and post-operative pain only occurred in 4 cases in the internal plug mesh group in comparison to 29 cases in the mesh fixation group (p = 0.014).
An internal plug mesh without fixation might reduce post-operative pain after laparoscopic TEP repair of an inguinal hernia. Internal plug mesh without fixation may be an alternative method in laparoscopic TEP repair, especially for those involving indirect hernias.
在腹腔镜完全腹膜外（TEP）腹股沟疝修补术中，网片固定是必不可少的，但固定有时会引起术后疼痛。本研究探讨了一种无需网片固定的腹腔镜 TEP 修补的新方法。
本研究回顾了 2004 年 12 月至 2005 年 10 月期间 219 例 241 例腹腔镜 TEP 修补术的数据。
在复发率、血清肿形成和住院时间方面无统计学差异。然而，内置塞网组的平均手术时间短于固定组（p = 0.009），内置塞网组术后疼痛仅发生 4 例，而网片固定组发生 29 例（p = 0.014）。
腹腔镜 TEP 修补腹股沟疝时，不固定内置塞网可能会减轻术后疼痛。不固定的内置塞网可能是腹腔镜 TEP 修补的一种替代方法，特别是对于间接疝。
