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首页> 外文期刊>Surgical Endoscopy >Step-by-step guide to safe removal of pre-peritoneal inguinal mesh
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Step-by-step guide to safe removal of pre-peritoneal inguinal mesh

机译：逐步指南安全去除腹膜前腹股沟网

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BackgroundInguinal hernia repairs are among the most common operations performed worldwide. An increasing number is performed minimally invasively with mesh placed pre-peritoneally. Some situations may require mesh removal. This can be complex and challenging. We share our technique to remove pre-peritoneal mesh using a minimally invasive approach.MethodsThe multiple steps involved in robotic-assisted pre-peritoneal mesh removal are reviewed in detail, including preoperative planning, intraoperative positioning, review of anatomic landmarks, and systematic approach with technical tips to reduce complications.ResultsWe provide an attached narrated video guide with a written summary to outline pre-peritoneal inguinal mesh removal. The steps are applicable to both robotic-assisted and laparoscopic approaches. We present a video of the robotic-assisted approach. We prefer the robotic-assisted approach for most pre-peritoneal mesh removal based on results of our retrospective series of 26 patients undergoing 31 mesh removals. We noted that our robotic-assisted approach was more effective than the laparoscopic approach, with significantly less incidence of vascular injury (0 vs 5, p<0.05) and less nerve (1 vs 4) and spermatic cord injuries (0 vs 1).ConclusionsAs pre-peritoneal inguinal mesh implantation becomes more popular, surgeons may be seeing more patients with complications who may require mesh removal. We provide a detailed step-by-step approach with video to serve as a guide to surgeons who are planning for safe removal of pre-peritoneal inguinal hernia mesh.
机译：疝气疝维修是全球最常见的操作之一。越来越多的数量是用腹膜预先置于腹膜的网格而令人生造的。某些情况可能需要删除网格。这可能是复杂和具有挑战性的。我们分享我们使用微创方法去除腹膜前网格的技术。详细审查了机器人辅助腹膜内啮合中涉及的多个步骤，包括术前规划，术中定位，解剖标志的审查，以及系统的方法减少复杂性的技术提示。培养百合提供了一个关于概述的附加叙述视频指南，以概述腹膜预腹板网格拆除。这些步骤适用于机器人辅助和腹腔镜方法。我们提出了一个机器人辅助方法的视频。我们更喜欢基于我们回顾性的26名患者进行31目移除的患者的结果，对大多数腹膜内射门移除的机器人辅助方法。我们注意到，我们的机器人辅助方法比腹腔镜方法更有效，血管损伤的发生率显着较低（0 vs 5，P <0.05）和较少的神经（1 vs 4）和精嘴损伤（0 Vs1）。结论腹膜前腹股沟网眼植入变得更受欢迎，外科医生可能会看到更多患者可能需要网眼去除的并发症。我们提供了一个详细的逐步方法，通过视频作为外科医生的指南，他计划安全去除腹膜前腹膜疝网。

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