Department of Pediatric Surgery, Chang-Gung Memorial Hospital, Chiayi, Taiwan.
School of Medicine, Chang-Gung University, Taoyuan, Taiwan.
Sci Rep. 2020 Oct 1;10(1):16244. doi: 10.1038/s41598-020-73171-4.
As most of the female inguinal hernias are of indirect type, we conducted this retrospective study to evaluate whether the single port laparoscopic percutaneous internal ring suture is feasible for the management of indirect inguinal hernia in female adults. From April 2016 to August 2019, there were 31 female adults who were diagnosed with inguinal hernias and received laparoscopic inspection at our surgical department. One patient who was finally diagnosed as an encysted hydrocele was excluded from the statistic study. All the 30 cases were of indirect type with a total of 35 single port laparoscopic percutaneous internal ring sutures performed. The median age was 38 years (range 20-88 years). The number and percentage of patients with right, left and bilateral hernias were 17 (56%), 11 (37%) and 2 (7%) respectively. Three contralateral patent processi vaginalium and 1 occult femoral hernia were found during operation. The percentages of the respective classifications according to the European Hernia Society system for the 35 PIRSs were L1: 40%, L2: 49%, and L3: 11%. The average operation time was 18 min for unilateral and 30 min for bilateral hernias. There were 1 recurrence and 1 chronic postoperative inguinal pain. Both had their symptoms and signs resolved after reoperation. The mean follow-up period was 13.6 months. We concluded that the single-port laparoscopic percutaneous internal ring suture is feasible for the management of indirect inguinal hernia in female adults.
由于大多数女性腹股沟疝为间接型，我们进行了这项回顾性研究，以评估单孔腹腔镜经皮内环缝合术是否可用于女性成人的间接型腹股沟疝治疗。2016 年 4 月至 2019 年 8 月，我院外科有 31 例女性成人因腹股沟疝接受腹腔镜检查。其中 1 例最终诊断为囊状性鞘膜积液的患者被排除在统计研究之外。所有 30 例均为间接型，共进行 35 例单孔腹腔镜经皮内环缝合术。中位年龄为 38 岁（范围 20-88 岁）。右侧、左侧和双侧疝的患者数量和百分比分别为 17（56%）、11（37%）和 2（7%）。术中发现 3 例对侧输精管未闭和 1 例隐匿性股疝。根据欧洲疝学会（European Hernia Society）系统对 35 例 PIRS 的分类，L1 分别为 40%、L2 为 49%、L3 为 11%。单侧手术的平均手术时间为 18 分钟，双侧手术为 30 分钟。有 1 例复发和 1 例慢性术后腹股沟疼痛。两者均在再次手术后症状和体征得到缓解。平均随访时间为 13.6 个月。我们得出结论，单孔腹腔镜经皮内环缝合术可用于女性成人的间接型腹股沟疝治疗。
