科研之友
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摘要
Laparoendoscopic single-site totally extraperitoneal (LESS-TEP) hernioplasty emerged in 2009, and various studies have been performed. However, no significant difference between LESS-TEP hernioplasty and conventional three-port totally extraperitoneal (TEP) hernioplasty has been found. We evaluated the benefits, safety, and feasibility of moving the incision downward to the suprapubic area when performing LESS-TEP hernioplasty. LESS-TEP hernioplasty with a suprapubic incision was performed in 21 patients at the Central Hospital of Shantou, China, from 1 May to 31 August 2019. The patient demographics, hernia type and site, operation time, estimated blood loss, length of surgical incision, defect and mesh areas, conversion to conventional TEP hernioplasty, and postoperative pain scale score were prospectively collected. Only regular laparoscopic instruments were used during surgery. Among 21 patients with hernias (male/female = 19:2), 12 had left inguinal hernias, 8 had right inguinal hernias, and 1 had bilateral inguinal hernias. The mean operative time was 93 min (range, 50-150 min). The mean estimated blood loss was 6.7 ml (range, 5-20 ml). No patients underwent conversion to conventional TEP hernioplasty or developed intraoperative complications. The mean postoperative pain scale score was 2.28 (range, 0-6). The mean hospital stay was 2.28 days (range, 1-6 days). Postoperative fever occurred in one patient and was managed successfully with supportive treatment. LESS-TEP hernioplasty with a suprapubic incision is safe and feasible because of better cosmetic outcomes, potential earlier convalescence, less interference among laparoscopic instruments, and broader indications. The learning curve is considered acceptable.
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单位南方医科大学; 汕头大学; y
