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首页> 外文期刊>Surgical Endoscopy >Totally extraperitoneal (TEP) hernia repair after an original TEPIs it safe, and is it even possible?
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Totally extraperitoneal (TEP) hernia repair after an original TEPIs it safe, and is it even possible?

机译:原始TEPI后完全腹膜外(TEP)疝修补术是安全的,甚至可能吗?

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BACKGROUND: There are only scant published reports of totally extraperitoneal (TEP) repair of recurrence after a primary TEP procedure. Furthermore, at least two authors have made the statement that such an operation is virtually impossible. METHODS: We have been performing TEP repair of recurrence after TEP since we 1996, and here we present a retrospective review of our experience with the procedure. We employ a method not varying greatly from the standard TEP done for primary hernia. RESULTS: All cases were started laparoscopically, and only one of 20 had to be converted to open. Of these cases, 12 were for same-side recurrence and eight for a contralateral new hernia. With a follow-up of 28-74 months, there have been no fatalities, no complications, and no re-recurrence. CONCLUSION: We have found that TEP repair of recurrent inguinal hernia after a primary TEP repair is entirely feasible technically as well as entirely safe.
机译:背景:只有很少的公开报道说,在进行一次原发性TEP手术后,完全进行了腹膜外(TEP)修复。此外,至少有两位作者发表声明说,这种操作实际上是不可能的。方法:自1996年以来,我们一直在进行TEP术后TEP复发的修复,这里我们回顾性地回顾了该手术的经验。我们采用的方法与针对原发性疝气的标准TEP差别不大。结果:所有病例均始于腹腔镜手术,仅20例中的1例需转变为开放性。在这些病例中,有12例为同侧复发,而8例为对侧新疝。经过28-74个月的随访,没有死亡,没有并发症,也没有复发。结论:我们发现,原发性TEP修补术后TEP修补复发性腹股沟疝是完全可行的,而且在技术上也是完全安全的。

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