关键词: 腹腔镜, 腹腔镜下全腹膜外修补术, 腹膜外复位, 腹股沟难复性疝

Abstract: 【Abstract】 Objective〓To summarize up endoscopic extraperitoneal reset combined with TEP treating for inguinal irreducible hernia. Methods〓From March 2012 to November 2015,48 patients with irreducible inguinal hernia were performed modified laparoscopic totally extraperitoneal hernia repair in our hospital (observation group). And the other 50 cases of irreducible inguinal hernia in same period were performed with open mesh plug hernia repair (control group). The clinical effect of both groups were analyzed in two groups. Results〓Operation time of control group was shorter than that of observation group, and. blood loss, ambulation time, hospital stay, duration of pain in the observation group were significantly lower than those in the control group, and the differences were statistically significant. The postoperative complications was 6.25% in the observation group, and 22.00% in the control group (P<0.05). Conclusion〓The clinical application of extraperitoneal reset endoscopic combined with TEP for treating inguinal irreducible hernia is feasible, which has the advantage to open operation. And our results in the study is in line with literature reports.

Key words: Endoscopic, TEP, Inguinal irreducible hernia, Extraperitoneal reset