Different fixation methods of hernia patches in transabdominal preperitoneal

NIE Yong; HUANG Jianfeng; JIN Jitao; SUN ZHenzhi; CHANG Haosheng; QIAN Linfeng; LIU Yuhui

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Medical Journal of the Chinese People Armed Police Forces ›› 2020, Vol. 31 ›› Issue (10) : 846-848.

ORIGINAL ARTICLES

Different fixation methods of hernia patches in transabdominal preperitoneal

NIE Yong, HUANG Jianfeng, JIN Jitao, SUN ZHenzhi, CHANG Haosheng, QIAN Linfeng, LIU Yuhui

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Abstract

Objective To investigate the efficacy and reliability of transabdominal preperitoneal using different hernia patch fixation methods.Methods The clinical data of 190 recipients of transabdominal preperitoneal between January 2014 and August 2019 was collected. According to fixation methods of hernia patches, these cases were divided into three groups: non-fixation group (88 cases), medical glue fixation group (66 cases) and nail fixation group (36 cases).Results All the 190 cases were followed up for 6 to 24 months, and no recurrence of hernia was found. The visual analogue score(VAS) and the inguinal pain questionnaire(IPQ) score at 1, 3 and 6 months after operation was significantly higher in the nail fixation group than that of the medical glue fixation group and the non-fixation group, and the difference was statistically significant (P<0.05). The incidence of seroma in the non-fixation group was significantly different from (P<0.05) that of the nail fixation group and the medical glue fixation group. The sensation of a foreign body in the non-fixation group and the medical glue fixation group was significantly lower than that of the nail fixation group (P<0.05).Conclusions Non-fixation of hernia patches in transabdominal preperitoneal has a similar effect to medical glue fixation, which can reduce the incidence of chronic pain and foreign body sensation in the middle and long term. The hernia patch is safe and effective without fixation, which should be more widely used in transabdominal preperitoneal.

Key words

laparoscopy / groin / hernia repair / hernia patch fixation

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NIE Yong, HUANG Jianfeng, JIN Jitao, SUN ZHenzhi, CHANG Haosheng, QIAN Linfeng, LIU Yuhui. Different fixation methods of hernia patches in transabdominal preperitoneal[J]. Medical Journal of the Chinese People Armed Police Forces. 2020, 31(10): 846-848

References

[1] 赵攀.腹腔镜全腹膜外腹股沟斜疝修补术补片固定方式的进展[J].腹腔镜外科杂志,2015,20(11):874-877.
[2] 侯建忠,樊友本,伍波. 医用胶与钉合固定疝补片在腹腔镜全腹膜外腹股沟疝修补术中应用效果的Meta分析[J].腹腔镜外科杂志,2019,24(7):519-525.
[3] 王翀, 朱应昌, 梁伟潮, 等.腹腔镜经腹腹膜前疝修补术中补片缝合固定对减轻腹股沟疝患者术后疼痛的效果分析[J] .国际外科学杂志,2019,46(9):631-633.
[4] Fränneby U, Gunnarsson U, Andersson M,et al.Validation of an inguinal pain questionnaire for assessment of chronic pain after groin hernia repair[J]. Br J Surg,2008,95(4):488-493.
[5] 聂勇,王晓瑾,常浩生,等.武警官兵腹股沟斜疝修补术不同术式应用的回顾性研究[J].武警医学,2018,29(11):1032-1035.
[6] Arregui M E, Davis C J, Arkush A,et al.In selected patients outpatient laparoscopic cholecystectomy is safe and significantly reduces hospitalization charges[J].Surg Laparosc Endosc, 1991,1(4):240-245.
[7] 中华医学会外科学分会疝与腹壁外科学组,中国医师协会外科医师分会疝和腹壁外科医师委员会.成人腹股沟斜疝诊断和治疗指南(2018 年版)[J].中国普通外科杂志,2018,27(7):807-811.
[8] Leggat P A,Kedjarune U,Smith D R.Toxicity of cyanoacrylate tissue sealant impairs tissue inttgration of macroporous mesh inexperimental hernia repairr[J].Surg Endosc, 2007,21(10):1781-1785.
[9] Lau H.Fibrin sealant versus mechanical stapling for mesh fixation during endoscopic extraperitoneal inguinal hernioplasty:a randomized prospective trial[J].Ann Surg, 2005,242(5):670-675.
[10] 郑元璋,陈臻,朱海涛.TAPP术中医用胶固定补片的临床应用研究[J].临床医学工程,2019,26(4):429-430.
[11] 刘建忠,徐建,王守光,等.腹腔镜完全腹膜外疝修补手术难点及操作技巧[J].中国微创外科杂志,2011,11(7):587-389.
[12] 张子超,郭金星,杨国山,等.腹腔镜经腹腹膜前疝修补术中腹腔内三点缝合法固定补片的疗效研究[J].中华疝与腹壁外科杂志(电子版),2017,11(1):17-20.
[13] 李学远,陈红兵,苏清华,等.腹腔镜全腹膜外疝修补术固定补片方法探讨[J].实用临床医学,2014,15(5):42-44.
[14] 华烨,韩继明,王灿,等.二种缝线运用于无张力疝修补术的临床分析[J].中华疝与腹壁外科杂志(电子版),2012,6(4):926-928.
[15] 刘进军,张鹏,余波,等.Ⅰ、Ⅱ型腹股沟斜疝腹腔镜经腹腹膜前疝修补术中不固定补片与缝合固定补片的比较研究[J].腹腔镜外科杂志,2017,22(5):368-372.
[16] 钟广俊.腹腔镜疝修补术中网片是否固定与开放式无张力疝修补术的疗效比较[J].中华疝和腹壁外科杂志(电子版),2019,13(2):157-161.