关键词: 腹股沟疝, 腹腔镜下经腹腹膜前疝修补术, 治疗

Abstract: 【Abstract】 Objective〓To summarize the 64 patients with inguinal hernia were performed the laparoscopic transabdominal preperitoneal (TAPP) approach, and explore its application skills and value. Methods〓To collect and analysis 64 patients performed transabdominal preperitoneal(TAPP) with inguinal hernia between April 2010 and April 2015. Results〓The operation were successfully completed, and the time of operation were 85±10.6 min (68-108 min), average bleeding volume were 35.25 ml, hospital stay after operation were (5.6±0.8)d (3-9 d). Three cases of scrotal edema, one case of seroma,three cases of acute urinary retention occurred after operation with 10.94% of complication rate,and all were cured. A mild pain occurred in post-operative patients,without incision swell, wound extravasating and none of patients received analgesics. Cases were followed up for 2-60 months with an average of 19 months and 92.19% of follow-up rate. Five cases failed to be followed up. No recurrence was found. Conclusion〓TAPP is a reliable efficient technique with shorter hospitalization and less complication to repair adult hernia or direct hernia or femoral hernia, especially to the hernia recurrence and incarcerated hernia with intestinal obstruction.

Key words: Inguinal hernia, Laparoscopic transabdominal preperitoneal (TAPP), Therapy