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首页> 外文期刊>Surgical Endoscopy >Modified port positions for totally extraperitoneal (TEP) repair for groin hernias: our experience
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Modified port positions for totally extraperitoneal (TEP) repair for groin hernias: our experience

机译：用于腹股沟疝的完全腹膜内（TEP）修复的修改口径位置：我们的经验

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Background Totally extraperitoneal repair (TEP) is the preferred method of inguinal hernia repair for many surgeons worldwide. However, because of limited working space, there may be difficulties when operating on large and irreducible groin hernias and short stature patients. There are many ways in which the port positions can be modified during TEP for different kinds of hernias and according to the comfort of the surgeons. Methods This is a retrospective analysis of prospectively collected data. We describe two different variations in port placement for TEP in patients with large irreducible hernias and short stature patients. Results A total of 19 procedures were performed with these port positions. Most of these were large irreducible hernias or patients with short stature. With these modified port positions, difficult hernias could be completed with extraperitoneal approach. We had no recurrence and 5 seromas that eventually settled in 1-3 months. Conclusion Modified port positions in TEP by shifting the ports farther away can be useful for hernias where the surgery is difficult due to limited working space and is a good alternative to TAPP.
机译：背景全腹膜外修补术（TEP）是全世界许多外科医生首选的腹股沟疝修补方法。然而，由于工作空间有限，对大而不可缩小的腹股沟疝和身材矮小的患者进行手术可能会有困难。在TEP过程中，有许多方法可以根据不同类型的疝气和外科医生的舒适度来调整端口位置。方法对前瞻性收集的数据进行回顾性分析。我们描述了两种不同的TEP端口放置方式，分别适用于大型不可复性疝气患者和身材矮小患者。结果共进行了19次手术。其中大多数是巨大的不可复性疝气或身材矮小的患者。通过这些改良的端口位置，困难的疝气可以通过腹膜外途径完成。我们没有复发，5例血清瘤最终在1-3个月内消退。结论在TEP中，通过将孔口移远来调整孔口位置，可用于因工作空间有限而难以手术的疝气，是TAPP的良好替代方案。

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