经腹腹膜前腹腔镜方法治疗成人急诊腹股沟疝气

Thanh Xuan Nguyen, Duc Anh Le, Hoai Anh Vu, Thanh Hai Phan, Nhu Hien Pham, Minh Duc Pham
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摘要

背景。急诊腹股沟疝是一个研究不足的领域,尽管其严重性需要紧急手术,且术后发病率和死亡率都很高。因此,本研究旨在探讨经腹腹膜前(TAPP)腹腔镜技术对需要紧急腹股沟疝修补术的成年患者的疗效、关键技术要素以及相关问题的处理。方法。我们分析了 2021 年 1 月至 2023 年 3 月期间接受腹股沟疝急诊修补术治疗的成年患者。对这些患者的术前数据进行了检查。结果21 名患者均成功实施了手术。手术时间为 71.6 ± 19.7 分钟(45-120 分钟不等)。住院时间为 3.2 ± 2.2 天(2-5 天不等)。结论TAPP方法能够评估疝内容物并降低切口感染的发生率,是一种安全有效的成人腹股沟疝急诊修补方法。
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Transabdominal preperitoneal laparoscopic method for treatment of emergency groin hernias in adult patients
Background. Emergency groin hernia is an understudied research field despite its severity requiring emergency surgery associated with high postoperative morbidity and mortality rates. Therefore, the purpose of this study was to investigate the efficacy, critical technical elements, and management of problems associated with the transabdominal preperitoneal (TAPP) laparoscopic technique for adult patients in need of an emergency groin hernia repair. Methods. We analyzed adult patients who were treated between January 2021 and March 2023 for emergency groin hernia repair. These patients' preoperative data were examined. Results. The surgery was successfully performed on all 21 patients. The duration of the surgery was 71.6 ± 19.7 minutes (range, 45–120 minutes). The hospitalization time was 3.2 ± 2.2 days (range, 2–5 days). Conclusions. The TAPP approach is a secure and efficient method for performing emergency groin hernia repair in adults due to its ability to evaluate hernia content and reduce the incidence of incisional infection.
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