关键词: 腹腔镜, 腹股沟复发疝, 完全腹膜外补片植入术

Abstract: 【Abstract】〓Objective〓To evaluate laparoscopic totally extraperitoneal patch implantation (TEP) for treating recurrent inguinal hernia and summarizing the experience. Methods From January 2010 to January 2013, clinical data of 33 cases undergoing TEP in our hospital were retrospectively analyzed and operation skills were summarized. Results All the operations were successfully completed, and no patients were transferred to open operation. Average operation time was (75.1±38.5) min, intraoperative blood loss was (9.5±3) mL, the average hospitalization time was (5.1±1.5) d. The complications had peritoneal laceration in 3 cases, subcutaneous emphysema in 1 case. No persistent postoperative neuropathic pain, groin hematoma, infection of incisional wound. All patients were followed up in a period of one to nine months. The recurrence occurred in one case 5 months after operation. Conclusion This surgical procedure is a safe and effective operative method in the treatment of recurrent inguinal hernia,and it would reduce significantly postoperative re-recurrent rate for recurrent hernia.

Key words: Laparoscope, Recurrent inguinal hernia, Total extraperitoneal patch implantion