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- W2359421544 abstract "Objective: To discuss the safety,practicality and convenience of laparoscopic transabdominal preperitoneal prosthesis( TAPP) in the treatment of adult inguinal hernia. Methods: Two hundred and eighteen cases of adult inguinal hernia underwent TAPP,and the intraoperative operation were improved. The peritoneum around the internal ring was cut and dissected towards the head,the inferior epigastric vessel,the spermatic vessels and the ductus deferens were routinely freed,one side of the hernia patch was cut,the hernia patch was put through and wrapped around the inferior epigastric vessel,the spermatic vessel and the ductus deferens,fixed with the clips,the peritoneum around the internal ring was purse string sutured with the 1-0 absorbable suture. Results: All of the 218 cases of operation were successful. The mean operative time was( 50 ± 15) min,the postoperative hospital stay was 2-4 d,the intraoperative blood loss was 5-10 ml. Subcutaneous effusion or hematocele around the external ring occurred in 8 cases and recovered after puncture and drainage. Enteroparalysis was found in 2 cases and recovered after symptomatic treatment. No recurrence or other complications occurred. Conclusions: This operation is more artistic and convenient in the treatment of adult inguinal hernia. This operation is easier to dissect the space in the posterior medial wall of the inguinal canal and put big enough patch. It is beneficial to prevent recurrence and more accords with the anatomic requirement for the defect of the inguinal canal. This repairment is stronger and could significantly reduce recurrence rate." @default.
- W2359421544 created "2016-06-24" @default.
- W2359421544 creator A5018397213 @default.
- W2359421544 date "2014-01-01" @default.
- W2359421544 modified "2023-09-25" @default.
- W2359421544 title "Laparoscopic transabdominal preperitoneal herniorrhaphy:a report of 218 cases" @default.
- W2359421544 hasPublicationYear "2014" @default.
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