Clinical significance of spatial anatomy of myopectineal orifice in laparoscopy inguinal hernia repair

SUN Yanjun; GONG Renhua; ZHONG Xingguo; CAI Jun; LIU Xueting; FAN Yulin; YANG Liusheng; and SUN Dengqun

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Medical Journal of the Chinese People Armed Police Forces ›› 2016, Vol. 27 ›› Issue (12) : 1193-1195.

ORIGINAL ARTICLES

Clinical significance of spatial anatomy of myopectineal orifice in laparoscopy inguinal hernia repair

SUN Yanjun, GONG Renhua, ZHONG Xingguo, CAI Jun, LIU Xueting, FAN Yulin, YANG Liusheng, and SUN Dengqun

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Abstract

Objective To investigate the clinical significance of spatial anatomy of myopectineal orifice (MPO) in laparoscopic inguinal hernia repair(LIHR).Methods The Ddata of ninety-six TEP or TAPP cases treated between Jun 2013 and Jun 2016 were retrospectively analyzed. The patients were divided into TEP group(n=42) and TAPP group(n=54). The symptoms and postoperative recovery were analyzed and recorded respectively. The potential risk factors correlated with postoperative complications were also analyzed.Results Operations were successful in all the cases and no open surgery was produced.The duration of operation was(45±12) min,and the main post operative complications were scrotal seroma (hematoma) (3 cases,3.1%). Follow-ups lasted 6 months to 3 years in all the cases. No recurrence was observed.Conclusions A good knowledge of the anatomical features and techniques of spatial anatomical separation of myopectineal orifice is essential to the prevention of recurrence and post-operative complications.

Key words

inguinal / myopectineal orifice / hernia repair / laparoscopes

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SUN Yanjun, GONG Renhua, ZHONG Xingguo, CAI Jun, LIU Xueting, FAN Yulin, YANG Liusheng, and SUN Dengqun. Clinical significance of spatial anatomy of myopectineal orifice in laparoscopy inguinal hernia repair[J]. Medical Journal of the Chinese People Armed Police Forces. 2016, 27(12): 1193-1195

References

[1] 华伟,梁志宏,赵象文,等.肌耻骨孔的空间分离解剖在腹腔镜全腹膜外疝修补术中的应用及意义[J].中国临床解剖学杂志,2014,32( 3) : 351-353.
[2] 吴孟超,吴在德.黄家驷外科学[M].7版. 北京: 人民卫生出版社,2008:1218.
[3] 陈鑫,李健文,张云,等.复发性腹股沟疝微创治疗的术式选择[J].中华外科杂志,2013,51( 9) : 792-795.
[4] 汤治平,谭敏,张金成.腹腔镜腹股沟疝修补术与无张力疝修补术的随机对比研究[J].腹腔镜外科杂志,2007,8(5):391-393.
[5] Magnusson N,Nordin P,Hedberg M,et al. 腹股沟疝复发的时间分析[J].中国实用外科杂志,2011,31(4):336-340.
[6] 张春阳,许雅娜,郎晓讴,等. 无张力疝修补术治疗老年腹股沟区复发疝67例[J].中国现代普通外科进展,2009,2(11):1007-1008.
[7] Wolloscheck T, Konerding M A. Demensions of the myopectineal orifice: a human dadaver study [J] . Hernia, 2009,13(6):639-642.
[8] Bittner R,Arregui M E,Bisgaard T,et al. Guidelinesfor laparoscopic( TAPP) and endoscopic ( TEP) treatment of inguinal hernia[International EndoherniaSociety(IEHS) ][J].Surg Endosc,2011,25:2773-2843.
[9] Carter J,Duh Q Y. Laparoscopic repair of inguinal hernias.World J Surg,2011,35:1519-1525.
[10] EU Hernia Trialists Collaboration. Laparoscopic compared with open methods of groin hernia repair:systematic review of randomized controlledtrials[J].Br J Surg,2000,87(7):860-867.
[11] Carg P,Menon CR,Rajagopal M,et al.Laparoscopic total extra peritoneal repair of recurrent inguinal hernias[J].Surg Endosc,2010,24 (2) :450-454.