Experiences of laparoscopic repair for suprapubic hernia

doi:10.16139/j.1007-9610.2018.04.012

Abstract

Abstract: Objective To evaluate the feasibility, safety and effectiveness of laparoscopic repair of suprapubic hernia. Methods The clinical data of 90 patients underwent laparoscopic repair of suprapubic hernia between July 2004 and December 2016 were analyzed retrospectively. The therapeutic effects and complications were reviewed. Results Totally 90 cases were in this study including 7 cases using transabdominal preperitoneal(TAPP), 6 cases traditional intraperitoneal onlay mesh (IPOM), 76 cases transabdominal partial extraperitoneal (TAPE) and 1 case converted to open Onlay repair due to severe adhesions. The defects were (12.54±5.72)(2-30) cm in max diameter and (92.98±62.09)(4-360) cm² in size. The meshes applied were (311.24±112.89)(80-600) cm² in size. The operation time was (54.04±16.60)(25-110) min and length of hospital stay was (5.53±3.61)(1-33) d. Eight cases used analgesics 8.99% (8/89) postoperatively and 4 cases were found recurrent 4.49% (4/89) during the follow-up of 72(13-161) months. Conclusions TAPP would be suitable for primary suprapubic hernias and small incisional hernias with intact peritoneum. TAPE is considered as a rational, safe and effective laparoscopic procedure for suprapubic hernia repair.

Key words: Laparoscopy, Suprapubic hernia, Laparoscopic repair

CLC Number:

R656.2

YUE Fei, HAO Xiaohui, LI Jianwen, WANG Wenrui, SUN Jing, HE Zirui, XUE Pei, Feng Bo, ZHENG Minhua. Experiences of laparoscopic repair for suprapubic hernia[J]. Journal of Surgery Concepts & Practice, 2018, 23(04): 333-336.

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