摩洛哥边远地区腹腔镜完全腹膜外腹股沟疝修补术的临床研究

Role of total extraperitoneal prosthetic laparoscopic inguinal hernioplasty in remote Moroccan suburban area

目的评价在摩洛哥边远地区行腹腔镜完全腹膜外腹股沟疝修补术(TEP)的临床疗效。方法选择2018年5月—2019年5月在摩洛哥卡萨布兰卡-塞达特大区塞达特哈桑二世医院就诊的初发腹股沟疝患者36例,根据就诊时间,对2018年5月—2019年1月入院的23例患者行传统开放手术(Lichtenstein术,开放组),对2019年1月—2019年5月入院的13例患者行TEP(TEP组)。术后随访,观察补片感染的发生情况。结果两组间患者的性别构成、年龄、腹股沟疝情况的差异均无统计学意义(P值均>0.05)。TEP组手术时间显著长于开放组(P<0.05)。两组患者术后均随访2个月,开放组术后补片感染发生率为17.4%(4/23),显著高于TEP组(P<0.05)。结论于摩洛哥边远地区的无层流手术室开展TEP安全、可行,可减少补片感染的发生。

Objective To evaluate the clinical outcome and feasibility of total extraperitoneal prosthetic(TEP)laparoscopic inguinal hernioplasty performed in non-laminar-airflow-ventilation operation rooms in remote Morocco’s countyside.Methods A total of 36 patients with primary inguinal hernia admitted to Saidat Hassan II Hospital in the Casablanca Saida region of Morocco between May 2018 and May 2019 were enrolled in this study.They received Lichtenstein hernioplasty(23 cases,from May 2018 to January 2019)and TEP(13 cases,from January 2019 to May 2019),respectively.The mesh infection was observed during follow-up visit.Results There was no significant difference in the gender composition,age,or hernia position between the two groups(all P>0.05).The operation time in TEP group was significantly longer than that in the Lichtenstein group(P<0.05).After two-month follows up,the incidence of mesh infection in the Lichtenstein group was 17.4%(4/23),which was significantly higher than that in the TEP group(P<0.05).Conclusion TEP is feasible and safe in a non-laminar-airflow-ventilation operation room,and the incidence of mesh infection can be reduced.