Mok K T, Wang B W, Chang H T, Liu S I, Jou N W, Tsai C C, Chen I S
Department of Surgery, Veterans General Hospital-Kaohsiung, National Yang-Ming University, Taiwan, ROC.
Int Surg. 1998 Apr-Jun;83(2):174-6.
Laparoscopic herniorrhaphy (LH) shares the same repair principle as open preperitoneal prosthetic herniorrhaphy (PPH). Theoretically, the recurrence rate of LH for recurrent inguinal hernia will match the low recurrence rate of PPH (1.2-3%).
One-hundred forty-five cases of recurrent inguinal hernia were retrospectively studied between 1990 and 1994. Forty-two cases receiving LH were compared to 103 cases receiving PPH.
There were no differences in operative time, hospital stay, morbidity rate, satisfaction scale and recurrence rate between the LH group and the PPH group. The LH group showed significantly less postoperative pain and 2 times shorter convalescence (p<0.01). Unsuspected asymptomatic contralateral hernia was found in 4.8% of patients receiving LH. 11.9% of patients had bilateral hernia repairing at the same time in the LH group.
LH is suitable for recurrent inguinal hernia, but further investigation of this technique is required before its wide application.
腹腔镜疝修补术（LH）与开放腹膜前修补术（PPH）有着相同的修补原则。理论上，腹腔镜复发性腹股沟疝修补术的复发率与PPH的低复发率（1.2 - 3%）相当。
回顾性研究1990年至1994年间145例复发性腹股沟疝患者。将42例行LH手术的患者与103例行PPH手术的患者进行比较。
LH组与PPH组在手术时间、住院时间、发病率、满意度评分及复发率方面无差异。LH组术后疼痛明显减轻，康复时间缩短两倍（p<0.01）。接受LH手术的患者中有4.8%发现了未被怀疑的无症状对侧疝。LH组有11.9%的患者同时进行了双侧疝修补。
LH适用于复发性腹股沟疝，但在广泛应用前还需对该技术进行进一步研究。
