关键词: 腹股沟疝, 嵌顿, 腹腔镜, 完全腹膜外, 疝修补术

Abstract: 【Abstract】 Objective〓To investigate the feasibility and safety for patients with incarcerated inguinal hernia who treated by laparoscopic exploration combined with laparoscopic total extraperitoneal (TEP). Methods〓Twenty-three patients with incarcerated inguinal hernia were treated in our hospital from March 2010 to November 2014. Of them, 21 cases were performed by manipulative reduction and failed. Principle of management of laparoscopic exploration combined with TEP was performed when bowel was in good condition, and those found bowel necrosis were transferred open operation. Results Nineteon cases were performed TEP and no complications occurred after operation. Two cases were treated by open inguinal herniorrhaphy due to bowel necrosis. Conclusion〓Laparoscopic exploration combined with TEP is safe and feasible for management of acute incarcerated inguinal hernia under definite evaluation of intestinal ischemia and intestinal necrosis.

Key words: Inguinal hernia, Incarcerated, Laparoscope, Total extraperitoneal, Herniorrhaphy