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.
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
.
DOI: 10.16139/j.1007-9610.2018.04.012
[1] Chowbey PK, Sharma A, Khullar R, et al.Laparoscopic ventral hernia repair with extraperitoneal mesh: surgical technique and early results[J]. Surg Laparosc Endosc Percutan Tech,2003,13(2):101-105.
[2] LeBlanc KA, Booth WV. Laparoscopic repair of incisio-nal abdominal hernias using expanded polytetrafluoroethy-lene: preliminary findings[J]. Surg Laparosc Endosc,1993,3(1):39-41.
[3] Sharma A, Dey A, Khullar R, et al.Laparoscopic repair of suprapubic hernias: transabdominal partial extraperitoneal(TAPE) technique[J]. Surg Endosc,2011,25(7):2147-2152.
[4] 中华医学会外科学分会疝和腹壁外科学组, 中国医师协会外科医师分会疝和腹壁外科医师委员会. 腹壁切口疝诊疗指南(2014年版)[J]. 中国实用外科杂志,2014,34(6):487-489.
[5] el Mairy AB. A new procedure for the repair of suprapubic incisional hernia[J]. J Med Liban,1974,27(6):713-718.
[6] Palanivelu C, Rangarajan M, Parthasarathi R, et al.Laparoscopic repair of suprapubic incisional hernias: sutu-ring and intraperitoneal composite mesh onlay. A retrospective study[J]. Hernia,2008,12(3):251-256.
[7] Sikar HE, Cetin K, Eyvaz K, et al.Laparoscopic repair of large suprapubic hernias[J]. Wideochir Inne Tech Maloin-wazyjne,2017,12(3):245-250.
[8] Stoppa RE.The treatment of complicated groin and incisional hernias[J]. World J Surg,1989,13(5):545-554.
[9] Morales-Conde S.Laparoscopic ventral hernia repair: advances and limitations[J]. Semin Laparosc Surg,2004,11(3):191-200.
[10] 李健文, 郑民华. 腹腔镜治疗腹壁边缘部位疝中补片固定的方法[J]. 外科理论与实践,2010,15(6):10-13.
[11] Bittner R, Bingener-Casey J, Dietz U, et al.Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)-part 1[J]. Surg Endosc,2014,28(1):2-29.
[12] Brady RR, Ventham NT, De Beaux AC, et al.Laparoscopic partially extraperitoneal (PEP) mesh repair for la-terally placed ventral and incisional hernias[J]. Surg La-parosc Endosc Percutan Tech,2014,24(3):e99-e100.
[13] Sun J, Chen X, Li J, et al.Implementation of the tran-sabdominal partial extra-peritoneal (TAPE) technique in laparoscopic lumbar hernia repair[J]. BMC Surg,2015,15:118-123.
[14] Renard Y, Simonneau AC, de Mestier L, et al. Standard of open surgical repair of suprapubic incisional hernias[J]. World J Surg,2017,41(6):1466-1474.
[15] Ramana B.Suprapubic incisional hernias: is open surgery a standard?[J]. World J Surg,2017,41(6):1475.
