Ferzli G S, Massaad A, Dysarz F A, Kopatsis A
Department of Surgery, Staten Island University Hospital, Brooklyn, New York.
Am Surg. 1993 Nov;59(11):707-8.
One hundred twenty-two hernias were repaired in 101 male patients through a total extraperitoneal approach. Patients ranged from 18 to 78 years old. All repairs were done with polypropylene mesh. Five patients (5%) required conversion to an open or transabdominal approach. Patients have been followed from 6 to 20 months, with a mean of 12 months. No recurrence has developed to date. Complications included urinary retention, groin hematoma, trocar site infection, and lateral femoral cutaneous nerve neuralgia. Six patients underwent simultaneous extraperitoneal endoscopic pelvic lymph node dissections, and two patients had varicoceles repaired simultaneously. Patients returned to usual activity within 1 week.
101例男性患者通过完全腹膜外入路修复了122例疝。患者年龄在18岁至78岁之间。所有修复均使用聚丙烯补片完成。5例患者（5%）需要转为开放或经腹入路。患者随访时间为6至20个月，平均12个月。迄今为止未发生复发。并发症包括尿潴留、腹股沟血肿、套管针穿刺部位感染和股外侧皮神经神经痛。6例患者同时接受了腹膜外内镜盆腔淋巴结清扫术，2例患者同时进行了精索静脉曲张修复术。患者在1周内恢复正常活动。
