Department of General Surgery, National University Health System, Singapore, Singapore.
General Surgery Service, Alexandra Hospital, National University Health System, Singapore, Singapore.
Hernia. 2022 Apr;26(2):627-634. doi: 10.1007/s10029-021-02505-6. Epub 2021 Oct 2.
To describe the feasibility of modified-TEP technique in reducing dead space in large inguinoscrotal and large femoral hernia to prevent seroma, reduce recurrence and complications.
This is a case series of patients who have completed a minimum of 9 months follow-up after undergoing elective endo-laparoscopic inguinal hernia repair with modified-TEP technique for large inguinoscrotal and large femoral hernia in a single institution from June to October 2020.
14 large inguinoscrotal hernia and 4 large femoral hernia were repaired using the modified-TEP technique in 15 patients. These patients reported minimal pain after surgery. There were no reported seroma, complications or recurrences up to 9 months follow-up period.
Modified-TEP technique for large inguinoscrotal and large femoral hernia has shown good outcomes and patients reported minimum levels of pain. In experienced hands, it is safe, feasible and effective in reducing seroma formation and hernia recurrence.
描述改良 TEP 技术在减少大型腹股沟阴囊和股疝死腔以预防血清肿、降低复发率和并发症方面的可行性。
这是一项病例系列研究，纳入了 2020 年 6 月至 10 月在一家机构接受改良 TEP 技术治疗大型腹股沟阴囊和股疝的择期腹腔镜腹股沟疝修补术的患者，所有患者均完成了至少 9 个月的随访。
15 例患者采用改良 TEP 技术修复了 14 例大型腹股沟阴囊疝和 4 例大型股疝。这些患者术后疼痛轻微。在 9 个月的随访期间，无血清肿、并发症或复发报告。
改良 TEP 技术治疗大型腹股沟阴囊和股疝的效果良好，患者疼痛程度较轻。在有经验的手中，该技术安全、可行、有效，可减少血清肿形成和疝复发。
