Mid-Florida Surgical Associates, Ocoee, USA.
University of Central Florida, College of Medicine, 2799 Valeria Rose Way, Ocoee, FL, 34761, USA.
J Robot Surg. 2022 Oct;16(5):1151-1155. doi: 10.1007/s11701-021-01336-y. Epub 2022 Jan 8.
There is a tremendous paucity of literatures regarding the long-term surgical outcomes of the r-TAPP procedure for inguinal hernia repair. Additionally, much of the existing literatures regarding this procedure have limited follow-up of to 12 months. This article presents the outcomes of 150 consecutive r-TAPP inguinal hernia repairs performed on 111 patients using Progrip mesh without fixation, with up to 24 months of follow-up. The initial 150 consecutive r-TAPP inguinal hernia repairs were performed from February 2017 to April 2018 using Progrip without fixation. All patients were seen at 2 weeks, followed by phone follow-up at 6 months, 1 year, and 2 years. Of the 111 patients, 39 had bilateral hernias (35%) and 72 had unilateral hernias (65%). The age range was 18-93 years. The BMI range was 20.7-50.2, with a mean of 26.4 and median of 25.8. Total operative time ranged from 28 to 138 min with a mean of 62.4 min and median of 56 min. ASA classification ranged from 1 to 4, with a mean of 2.1. No significant blood loss was observed in any of the cases. There were no conversions to open surgery. All patients were discharged the same day of the operation. We were able to follow up with 100% of the hernias at 2 weeks, 88% at 6 months, 87% at 1 year, and 80% at 2 years. No recurrences were recorded at 2 weeks, 3 months, 6 months, 1 year, or 2 years. There were no reports of chronic pain up to 2 years in any of the patients. These results indicate that r-TAPP inguinal hernia repair using Progrip without further fixation is safe, effective, and can be performed with minimal recurrences or chronic pain.
关于经腹膜前腹腔镜疝修补术（r-TAPP）治疗腹股沟疝的长期手术结果，文献资料极为匮乏。此外，关于该手术的许多现有文献的随访时间都限制在 12 个月以内。本文报告了使用 Progrip 网片无固定修补物对 111 例患者的 150 例连续 r-TAPP 腹股沟疝修补术的结果，随访时间最长达 24 个月。2017 年 2 月至 2018 年 4 月期间，我们对 111 例患者的 150 例连续 r-TAPP 腹股沟疝修补术采用 Progrip 网片无固定修补物。所有患者在术后 2 周、6 个月、1 年和 2 年时接受电话随访。111 例患者中，39 例为双侧疝（35%），72 例为单侧疝（65%）。年龄范围为 18-93 岁。BMI 范围为 20.7-50.2，平均为 26.4，中位数为 25.8。总手术时间为 28-138 分钟，平均 62.4 分钟，中位数为 56 分钟。ASA 分级为 1-4 级，平均 2.1 级。所有患者均无明显失血。无中转开放手术。所有患者均在术后当天出院。我们在术后 2 周、6 个月、1 年和 2 年时对 100%、88%、87%和 80%的疝进行了随访。术后 2 周、3 个月、6 个月、1 年和 2 年均无复发。在任何患者中，术后 2 年时均无慢性疼痛报告。这些结果表明，使用 Progrip 网片无进一步固定修补的 r-TAPP 腹股沟疝修补术是安全、有效的，且复发率和慢性疼痛发生率均较低。
