A new technique for extraperitoneal repair of inguinal hernia

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• 作者：Quan Xu ; MD^a ; Shi-Qi Liu ; MD ; PhD^a ; ^{liushiqi23@foxmail.com" class="auth_mail" title="E-mail the corresponding author} ; Jian-Hua Niu ; MD^b ; Rui-Xue Luo^c ; Jing Zhang ; MD^a ; Peng-Fei Zhang ; MD^a ; Xiao-Long Li ; MD^a ; Fei Peng ; MD^a
• 关键词：Inguinal hernia ; Hydrocele ; Children ; Single-incision laparoscopy ; Extra-abdominal laparoscopic herniorrhaphy
• 刊名：Journal of Surgical Research
• 出版年：2016
• 出版时间：August 2016
• 年：2016
• 卷：204
• 期：2
• 页码：452-459
• 全文大小：1175 K

文摘

Open inguinal hernia repair (OIHR) carries serious risks without providing contralateral visualization.

Methods

We compared OIHR (n = 363) with single-port laparoscopic extracorporeal hernia ligation with a modified cannula (SLELmc; n = 1514), in which the processus vaginalis (PV) was ligated extracorporeally with our modified cannula via the umbilicus.

Results

Operating times were shorter with SLELmc than with OIHR (unilateral and bilateral, P < 0.001). SLELmc enabled immediate closure of a contralateral patent PV in 143 cases. An incarcerated hernia was present in 45 of 1514 SLELmc patients (3.0%) and 7 of 363 OIHR patients (19.4%). All patients were discharged uneventfully 12-48 h postoperatively, with similar mean follow-up periods (SLELmc, 40.3 ± 6.4 mo versus OIHR 41.0 ± 7.5 mo; P = 0.071). The incidence of complications was lower after SLELmc (59 of 1514; 3.9%) than OIHR (82 of 363; 22.6%; P < 0.001).

Conclusions

SLELmc enables fast, effective PV closure and permits detection of concealed hernias.