Vărcuş Flore, Duţă Ciprian, Dobrescu Amadeus, Lazăr Fuger, Papurica Marius, Tarta Cristi
Chirurgia (Bucur). 2016 Jul-Aug;111(4):308-12.
The purpose of the study was to compare the results of laparoscopic inguinal hernia repair using two different methods: transabdominal preperitoneal (TAPP) repair and the technique of totally extraperitoneal repair (TEP).
In this retrospective study were included 90 cases of inguinal hernia that underwent for laparoscopic approach of inguinal hernia repair at the Emergency County Hospital Timisoara at the 2nd Surgical Clinic between 2012 and 2013. The primary outcome was recurrence of the hernia at two years follow-up. Secondary outcomes were short and long-term complications: hematoma and seroma formation, inflammation of the testis, chronic inguinal pain, reoperation, 30 days mortality.
Of the 90 patients who underwent unilateral hernia repair, 70 were completely followed-up for 24 months, 36 (81.81%) patients with TEP and 34 (73.91%) with TAPP. Regarding the main outcome there was no recurrence of the hernia at two years follow-up.There were two cases of bleeding in the TAPP group;both were managed by laparoscopic sealing of the damaged vessels, 8 cases of post-operative edema of testis in TAPP and 3 cases in TEP. Regarding thesubcutaneous emphysema there were 16 cases in TAPP and 3 cases in TEP.
Differences between TEP and TAPP in our study were related to minor complications, no major complications occurred. After the two years follow-up of 70 of a total of 90 patients, there was no recurrence of the hernia.
本研究旨在比较两种不同方法进行腹腔镜腹股沟疝修补术的结果：经腹腹膜前（TAPP）修补术和完全腹膜外修补术（TEP）。
本回顾性研究纳入了2012年至2013年期间在蒂米什瓦拉县急诊医院第二外科诊所接受腹腔镜腹股沟疝修补术的90例腹股沟疝患者。主要结局是两年随访时疝的复发情况。次要结局是短期和长期并发症：血肿和血清肿形成、睾丸炎症、慢性腹股沟疼痛、再次手术、30天死亡率。
在90例行单侧疝修补术的患者中，70例得到了完整的24个月随访，其中36例（81.81%）接受TEP手术，34例（73.91%）接受TAPP手术。关于主要结局，两年随访时无疝复发。TAPP组有2例出血，均通过腹腔镜封闭受损血管处理；TAPP组有8例术后睾丸水肿，TEP组有3例。关于皮下气肿，TAPP组有16例，TEP组有3例。
我们研究中TEP和TAPP的差异与轻微并发症有关，未发生重大并发症。90例患者中的70例经过两年随访，无疝复发。
