NMC Specialty Hospital, Al Nahda 2, Dubai, United Arab Emirates.
Hernia. 2020 Oct;24(5):1121-1124. doi: 10.1007/s10029-020-02237-z. Epub 2020 Jun 4.
Peritoneal tears occurring during TAPP and TEP are common, and can cause difficulty in continuing surgery, or, if left open can cause postoperative complications. A number of techniques to close the tear in the peritoneum have been described. These techniques are difficult and add to the operating time, and may not be successful in closing the opening in the peritoneum. We describe a simple, effective, fast technique of repairing these tears using the bipolar diathermy.
We have used bipolar diathermy to seal inadvertent peritoneal tears occurring during TAPP/TEP repairs. This method of sealing the peritoneum has been used by us since 2015. We decided to review our results of sealing the tears in the peritoneum at TAPP/TEP from 01 Jan 2017 to 31 Dec 2019.
A total of 152 laparoscopic inguinal hernia repair (TAPP/TEP) procedures were done by the authors from 01 January 2017 to 31 December 2019, and of these, 101 cases had some degree of peritoneal tear. All peritoneal tears were very simply sealed using bipolar diathermy.
Peritoneal tears occurring inadvertently during Laparoscopic TAPP/TEP procedure for repair inguinal hernia can be effectively sealed with simple bipolar diathermy.
TAPP 和 TEP 术中发生的腹膜撕裂很常见，如果处理不当会导致手术难以继续进行，或者如果开放不处理则会导致术后并发症。已经描述了许多用于缝合腹膜撕裂的技术。这些技术很复杂，会增加手术时间，并且可能无法成功缝合腹膜上的裂口。我们描述了一种使用双极电凝修复这些撕裂的简单、有效、快速的技术。
我们使用双极电凝来缝合 TAPP/TEP 修复过程中发生的意外腹膜撕裂。自 2015 年以来，我们一直使用这种方法来缝合腹膜。我们决定回顾 2017 年 1 月 1 日至 2019 年 12 月 31 日期间我们在 TAPP/TEP 中缝合腹膜撕裂的结果。
作者在 2017 年 1 月 1 日至 2019 年 12 月 31 日期间共进行了 152 例腹腔镜腹股沟疝修补术（TAPP/TEP），其中 101 例存在不同程度的腹膜撕裂。所有腹膜撕裂均使用双极电凝简单有效地缝合。
腹腔镜 TAPP/TEP 手术治疗腹股沟疝时，无意中发生的腹膜撕裂可以通过简单的双极电凝有效地缝合。
