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Risk of postoperative urinary retention after laparoscopic (TAPP) or endoscopic (TEP) inguinal hernia repair.

机译:腹腔镜(TAPP)或内窥镜(TEP)腹股沟疝修补术后术后尿retention留的风险。

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摘要

We thank C. Berney for the important discussion of the problem of postoperative urinary retention (POUR) following laparoscopic (TAPP) or endoscopic (TEP) inguinal hernia repair [1]. We agree with C. Berney that additionally to the amount of intraoperative fluid administration, pain, and pain medication (esp. narcotics), there may be more risk factors specifically related to the surgical technique.C. Berney focuses in particular on the role of mesh fixation in occurrence of postoperative urinary retention (POUR) and, based on data from the literature, points out that mesh fixation with staples leads to a higher incidence of POUR and therefore recommends mesh fixation with fibrin glue as a better alternative [1].
机译:我们感谢伯尼(C. Berney)对腹腔镜疝修补术[1]腹腔镜(TAPP)或内窥镜(TEP)术后尿retention留(POUR)问题的重要讨论。我们同意贝尼(C. Berney)的观点,除了术中输液,疼痛和止痛药(尤其是麻醉药)的使用量外,可能还有更多与手术技术特别相关的危险因素。 Berney特别关注网状固定在术后尿retention留(POUR)发生中的作用,并根据文献数据指出,用钉书钉进行网状固定会导致POUR发生率更高,因此建议使用纤维蛋白胶进行网状固定。作为更好的选择[1]。

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