Nasr Mohamed Mahmood
University Medical Center, Arabian Gulf University, Manama, Kingdom of Bahrain.
Surg Endosc. 2016 Mar;30(3):1113-8. doi: 10.1007/s00464-015-4308-5. Epub 2015 Jun 23.
In this study, the proposed technique is combining the invented method of extraperitoneal dissection utilizing gas insufflation through Veress needle introduced from the groin with the transabdominal approach. Such a combination minimizes operative demands, achieves major goals, and reduce operative time in an attempt to improve laparoscopic hernioplasty techniques.
The study recruited 211 patients having primary reducible inguinal hernia upon first diagnosis. Abdominal ultrasound examination achieved to exclude any additional pathology and confirming clinical diagnosis. The new technique is applied on all patients without any modification through the whole series.
Patients' epidemiology, operative characteristics, and follow-up are all tabulated. Results showed no complications nor conversion to open procedure.
The proposed procedure showed preliminary encouraging results regarding technique, clinical outcome, time-saving, and patients' safety. Combination of extraperitoneal gas-derived dissection, transabdominal field review, and preperitoneal mesh application offers an innovative and promising laparoscopic hernioplasty technique. The study is introducing the technique and as well invites further trials on wider scale to verify the technique.
在本研究中，所提出的技术是将通过从腹股沟插入Veress针进行气体注入的腹膜外剥离发明方法与经腹途径相结合。这种结合可将手术要求降至最低，实现主要目标，并减少手术时间，以试图改进腹腔镜疝修补技术。
该研究招募了211例初诊为原发性可复性腹股沟疝的患者。通过腹部超声检查排除任何其他病变并确认临床诊断。在整个系列中，新技术未经任何修改应用于所有患者。
列出了患者的流行病学、手术特征和随访情况。结果显示无并发症，也未转为开放手术。
所提出的手术在技术、临床结果、节省时间和患者安全方面显示出初步令人鼓舞的结果。腹膜外气体剥离、经腹视野检查和腹膜前补片应用的结合提供了一种创新且有前景的腹腔镜疝修补技术。该研究介绍了该技术，并邀请进行更广泛规模的进一步试验以验证该技术。
