Evans D S, Ghaneh P, Khan I M
Department of Surgery, Royal Shrewsbury Hospital National Health Service Trust, UK.
Br J Surg. 1996 Oct;83(10):1361-3. doi: 10.1002/bjs.1800831010.
Some 114 patients (median age 52 years) underwent laparoscopic hernia repair as a day-case procedure. Twenty-one patients had bilateral and 11 recurrent hernias. Some 113 patients underwent transabdominal preperitoneal mesh repair but one required conversion to open operation. Mean operating time was 24 min for unilateral and 38 min for bilateral repair. In an operating session of 3.5 h, up to five patients (mean 4.4) underwent surgery and as many as seven hernias were repaired. More than 10 per cent of patients were found to have a previously undiagnosed hernia on the opposite side. A total of 111 patients were discharged home on the day of surgery. Major complications included one omental bleed and one small bowel obstruction. Seroma was the commonest minor complication and occurred in 7 per cent of patients. More than 35 per cent of patients needed no postoperative analgesia. To date there has been one recurrence (follow-up range 2-18 months).
约114例患者（中位年龄52岁）接受了日间腹腔镜疝修补术。21例为双侧疝，11例为复发性疝。约113例患者接受了经腹腹膜前补片修补术，但有1例需要转为开放手术。单侧修补的平均手术时间为24分钟，双侧修补为38分钟。在3.5小时的手术时段内，最多有5例患者（平均4.4例）接受了手术，多达7处疝得到修补。超过10%的患者被发现对侧存在先前未诊断出的疝。共有111例患者在手术当天出院。主要并发症包括1例网膜出血和1例小肠梗阻。血清肿是最常见的轻微并发症，发生率为7%。超过35%的患者术后无需镇痛。迄今为止有1例复发（随访时间2 - 18个月）。
