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首页> 外文期刊>Surgical Endoscopy >Management of peritoneal tear during endoscopic extraperitoneal inguinal hernioplasty.
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Management of peritoneal tear during endoscopic extraperitoneal inguinal hernioplasty.

机译：内镜腹膜外腹股沟疝修补术中腹膜撕裂的处理。

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BACKGROUND: Peritoneal tear during endoscopic extraperitoneal inguinal hernioplasty (TEP) results in pneumoperitoneum and loss of extraperitoneal space. To avoid bowel adhesions, internal herniation, and mesh migration, closure of the peritoneal opening is preferred. The present study was conducted to evaluate the efficacy of various operative techniques for the closure of peritoneal laceration. METHODS: Between April 2000 and May 2001, 100 consecutive patients undergoing 123 TEPs were recruited for the present study. The incidence of peritoneal tear and techniques for the closure of peritoneal opening were documented. Operative time and postoperative morbidity were compared among groups for which different closure methods of peritoneal laceration were used. RESULTS: The incidence of peritoneal tear was 47%. The mean operative times of unilateral TEPs with and without peritoneal laceration were 66 min and 53 min, respectively (p<0.05). Techniques for the closure of the peritoneal opening included endoscopic stapling (n = 12), endoscopic suturing (n = 14), and pretied suture loop ligation (n = 21). The mean operative times for unilateral TEPs with endoscopic stapling, pretied suture loop ligation, and endoscopic suturing of peritoneal tear were 53, 64, and 82 min, respectively (p<0.05). Comparison of postoperative morbidity showed no significant differences among the three groups. CONCLUSION: Peritoneal tear is a frequent and challenging intraoperative event during TEP. Its occurrence significantly prolongs the length of operation. Endoscopic stapling and pretied suture loop ligation are safe and quick techniques for the closure of peritoneal tear during TEP.
机译：背景：内窥镜腹膜外腹股沟疝修补术（TEP）期间的腹膜撕裂会导致气腹和腹膜外空间的损失。为了避免肠粘连，内部疝气和网孔迁移，最好关闭腹膜开口。进行本研究以评估用于闭合腹膜裂伤的各种手术技术的功效。方法：从2000年4月至2001年5月，本研究招募了100名连续接受123例TEP的患者。记录了腹膜撕裂的发生率和关闭腹膜开口的技术。比较了使用不同腹膜裂伤封闭方法的各组的手术时间和术后发病率。结果：腹膜撕裂发生率为47％。有和没有腹膜裂伤的单侧TEP的平均手术时间分别为66分钟和53分钟（p <0.05）。腹膜开口的封闭技术包括内窥镜缝合（n = 12），内窥镜缝合（n = 14）和缝合线结扎术（n = 21）。内镜下吻合术，特异的缝合环结扎术和内镜下腹膜撕开术对单侧TEP的平均手术时间分别为53、64和82分钟（p <0.05）。术后发病率的比较显示三组之间无显着差异。结论：腹膜撕裂是TEP术中常见且具有挑战性的术中事件。它的出现大大延长了手术时间。内窥镜缝合和特有的缝合环结扎术是在TEP期间闭合腹膜撕裂的安全，快速的技术。

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