Department of General Surgery, Derecik State Hospital, Hakkari, Turkey. (Dr. Ulutas).
Department of General Surgery, University of Health Science, Van Training and Research Hospital, Van, Turkey. (Dr. Yılmaz).
JSLS. 2024 Jul-Sep;28(3). doi: 10.4293/JSLS.2024.00020.
This study aimed to determine the frequency of laparoscopic inguinal hernia repair (LIHR) and how surgeons managed complications such as intraoperative bleeding, organ damage, and peritoneal injury that may develop during this procedure.
The data for the study were collected through an electronic survey created using Google Forms and sent using WhatsApp in May 2024.
The study included 220 of 250 surgeons (88%) working in 25 healthcare centers located in different regions where the survey was distributed. Fourteen respondents with missing data were excluded from the study. The mean age of the remaining 206 participants was 39.6 (27-69) years. The rate of surgeons using laparoscopic techniques in inguinal hernia surgery was 89.3%. The method most preferred by the surgeons performing LIHR was total extraperitoneal (TEP) repair (60.9%), followed by transabdominal preperitoneal (TAPP) repair (39.1%). The surgeons preferred open procedures in patients with a history of lower abdominal surgery, those with scrotal hernia, and elderly patients. Additionally, in cases of intraoperative complications that developed at different stages of TEP, it was observed that participants mostly convert to the TAPP technique (43.5-46%), and in some cases, almost all participants continued the procedure with the same technique, i.e., TEP repair (94.6%).
This study revealed that surgeons preferred open procedures in some specific patient groups, but they mostly preferred LIHR in the remaining cases. Young surgeons, in particular, seem more inclined to employ laparoscopic methods. In cases of intraoperative complications, most surgeons chose to continue with laparoscopic techniques.
本研究旨在确定腹腔镜腹股沟疝修补术（LIHR）的频率，以及外科医生如何处理术中出血、器官损伤和腹膜损伤等并发症，这些并发症可能在手术过程中发生。
本研究的数据通过使用 Google 表单创建的电子调查收集，并于 2024 年 5 月通过 WhatsApp 发送。
本研究包括 250 名外科医生中的 220 名（88%），他们在分布调查的 25 个医疗中心工作。14 名数据缺失的受访者被排除在研究之外。其余 206 名参与者的平均年龄为 39.6（27-69）岁。在腹股沟疝手术中使用腹腔镜技术的外科医生比例为 89.3%。进行 LIHR 的外科医生首选的方法是完全腹膜外（TEP）修补术（60.9%），其次是经腹腹膜前（TAPP）修补术（39.1%）。外科医生在有下腹部手术史、有阴囊疝和老年患者的情况下更倾向于选择开放手术。此外，在 TEP 不同阶段发生术中并发症的情况下，观察到参与者大多转换为 TAPP 技术（43.5-46%），在某些情况下，几乎所有参与者都继续使用相同的技术，即 TEP 修复（94.6%）。
本研究表明，外科医生在一些特定的患者群体中更倾向于选择开放手术，但在其余情况下，他们大多更倾向于 LIHR。年轻外科医生似乎更倾向于使用腹腔镜方法。在术中并发症的情况下，大多数外科医生选择继续使用腹腔镜技术。
