Minimally Invasive Surgery of the Groin: Inguinal Hernia Repair

C. F. Ploneda-Valencia, C. A. Bautista-López, Carlos Alberto Navarro-Montes, Juan Carlos Verdugo-Tapia
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Abstract

The minimally invasive surgical technique for inguinal hernia repair (eTEP and TAPP) are gaining acceptance among surgeons worldwide. With the superior benefits of the laparoendoscopic techniques (less postoperative pain, numbness, and chronic pain, fewer complications, and faster return to normal activities), the protocolization and standardization of these approaches are essential to improve patient outcomes and reduce costs. Improved laparoscopic skills, well-selected patients, simulator training, and anatomy knowledge of the groin are the cornerstone for these approaches. We recommend starting the learning curve with the TAPP procedure, because it is easier to get familiarized with the anatomical landmarks of the pelvis and groin.
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腹股沟微创手术:腹股沟疝修补术
腹股沟疝修补术的微创手术技术(eTEP和TAPP)正在得到全世界外科医生的认可。由于腹腔镜技术的优势(更少的术后疼痛、麻木和慢性疼痛,更少的并发症,更快地恢复正常活动),这些方法的协议化和标准化对于改善患者预后和降低成本至关重要。改进的腹腔镜技术、精心挑选的患者、模拟器训练和腹股沟解剖学知识是这些方法的基础。我们建议从TAPP程序开始学习曲线,因为它更容易熟悉骨盆和腹股沟的解剖标志。
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