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CTEP Versus LESS Totally Extraperitoneal Hernioplasty

机译：CTEP与LESS完全腹膜外疝成形术

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Background and Objectives: The authors sought to assess and compare the surgical outcomes of laparoendoscopic single-port surgery (LESS) for totally extraperitoneal (LESS-TEP) hernioplasty and conventional totally extraperitoneal (CTEP) hernioplasty. Methods: From March 2015 through May 2018, a retrospective analysis of postoperative outcomes was conducted that included 81 cases of LESS-TEP and 88 cases of CTEP hernioplasty patients. For postoperative indicator comparisons, a visual-analog pain scale and 5-level cosmesis evaluation sheet were applied. In addition, complications on postoperative outcomes following inguinal hernia repair surgery are discussed based on our analysis and surgical experience. Results: All operations were successfully performed at different hospitals. Compared with the CTEP group, the operative time in the LESS-TEP group increased significantly ( P .05). Conclusion: LESS-TEP is as feasible and safe as CTEP. The use of LESS-TEP successfully improved the cosmetic outcomes of inguinal hernia repair surgery with smaller and fewer scars for patients. As a new surgical treatment approach for inguinal hernias, the LESS-TEP technique is still not a necessary or efficacious surgical alternative strategy for CTEP, especially for surgeons who are less experienced in the technique.
机译：背景与目的：作者试图评估和比较腹腔镜全口腹腔内（LESS-TEP）疝修补术和常规全腹膜外（CTEP）疝修补术的手术结局。方法：从2015年3月至2018年5月，对81例LESS-TEP和88例CTEP疝修补术患者的术后结局进行回顾性分析。为了进行术后指标比较，应用了视觉模拟疼痛量表和5级美容评估表。此外，根据我们的分析和手术经验，讨论了腹股沟疝修补术术后并发症的并发症。结果：所有手术均在不同医院成功进行。与CTEP组相比，LESS-TEP组的手术时间显着增加（P .05）。结论：LESS-TEP与CTEP一样可行且安全。 LESS-TEP的使用成功地改善了腹股沟疝修补术的美容效果，患者的疤痕越来越小。作为腹股沟疝的一种新的外科治疗方法，LESS-TEP技术仍然不是CTEP的必要或有效的手术替代策略，尤其是对于经验不足的外科医生而言。

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