| Citation: |
NIU Lei, LIU Langbiao, WU Yadong, CAI Jun. Effects of two surgical approaches for inguinal hernia after liver and kidney transplantation[J]. Journal of Clinical Medicine in Practice, 2024, 28(18): 17-20, 26. DOI: 10.7619/jcmp.20233790
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To compare the efficacy and safety of transabdominal preperitoneal hernia repair (TAPP) and open tension-free inguinal hernia repair (Lichtenstein technique) for inguinal hernia after liver and kidney transplantation.
A retrospective analysis was conducted on data of 17 patients with inguinal hernia after liver and kidney transplantation. According to the surgical methods, 14 patients with TAPP were assigned to experimental group 1, and 20 patients without a history of organ transplantation during the same period were assigned to control group 1. Additionally, 3 patients with the Lichtenstein technique were assigned to experimental group 2, and 10 patients without a history of organ transplantation during the same period were assigned to control group 2. Statistical analysis was performed to compare operation time, blood loss, and postoperative recovery, and to analyze the impacts of different organ transplantation on surgical method selection.
The operation time in experimental group 1 was (50.17±14.52) minutes, which was significantly longer than (33.77±10.19) minutes in the control group 1 (P < 0.05). No significant differences were observed between the two groups in terms of blood loss, postoperative ambulation time, and hospital discharge time (P>0.05). In experimental group 2, the operation time was (41.87±12.55) minutes and the blood loss was (10.78±7.56) mL, which was significantly longer than (27.14±10.64) minutes and higher than (5.40±1.56) mL in control group 2 (P < 0.05). There were significant differences in surgical blood loss and hospital discharge time between experimental group 1 and experimental group 2 (P < 0.05).
TAPP can improve surgical outcomes and safety, and reduce occurrence of complications. For patients with inguinal hernia after kidney transplantation combined with ureteral transplantation, the Lichtenstein technique is safer.
| [1] |
AIOLFI A, CAVALLI M, FERRARO S D, et al. Treatment of inguinal hernia: systematic review and updated network meta-analysis of randomized controlled trials[J]. Ann Surg, 2021, 274(6): 954-961. doi: 10.1097/SLA.0000000000004735
|
| [2] |
PAUL ENGBANG J, ESSOLA B, FOUDA B, et al. Inguinal hernias in adults: epidemiological, clinical and therapeutic aspects in the city of Douala[J]. J Surg Res, 2021, 4(1): 95-118.
|
| [3] |
GARCIA E M, PIETRYGA J A, KIM D H, et al. ACR appropriateness criteria hernia[J]. J Am Coll Radiol, 2022, 19(11): S329-S340. doi: 10.1016/j.jacr.2022.09.016
|
| [4] |
GER R, MONROE K, DUVIVIER R, et al. Management of indirect inguinal hernias by laparoscopic closure of the neck of the sac[J]. Am J Surg, 1990, 159(4): 370-373. doi: 10.1016/S0002-9610(05)81273-5
|
| [5] |
何苗, 曾心雨, 刘杰锋. 腹腔镜腹膜前疝修补和全腹膜外疝修补术治疗腹股沟疝的优劣比较[J]. 中国现代手术学杂志, 2020, 24(1): 71-75.
|
| [6] |
COS H, AHMED O, GARCIA-AROZ S, et al. Incisional hernia after liver transplantation: Risk factors, management strategies and long-term outcomes of a cohort study[J]. Int J Surg, 2020, 78: 149-153. doi: 10.1016/j.ijsu.2020.04.048
|
| [7] |
LYKOUDIS P M, DAVIDSON B R. An invited commentary on "incisional hernia after liver transplantation: Risk factors, management strategies and long-term outcomes of a cohort study"[J]. Int J Surg, 2020, 80: 40. doi: 10.1016/j.ijsu.2020.06.020
|
| [8] |
张志斌, 孙桂森, 谷川. 平片无张力疝修补术治疗肾移植术后腹股沟滑疝效果观察[J]. 山东医药, 2015, 55(8): 75-76.
|
| [9] |
SOFI J, NAZIR F, KAR I, et al. Comparison between TAPP & Lichtenstein techniques for inguinal hernia repair: a retrospective cohort study[J]. Ann Med Surg, 2021, 72: 103054. doi: 10.1016/j.amsu.2021.103054
|
| [10] |
纪光伟, 黄安, 彭林, 等. Lichtenstein无张力疝修补术(附33例报告)[J]. 中华疝和腹壁外科杂志: 电子版, 2009, 3(2): 25-26.
|
| [11] |
中华医学会外科学分会疝与腹壁外科学组, 中国医师协会外科医师分会疝和腹壁外科医师委员会. 成人腹股沟疝诊断和治疗指南(2018年版)[J]. 中国实用外科杂志, 2018, 38(7): 704-706.
|
| [12] |
贾传新, 吕亮宏, 吕忠船. 腹腔镜经腹腹膜前疝修补术与李金斯坦术治疗成人腹股沟疝的临床对比研究[J]. 腹腔镜外科杂志, 2020, 25(5): 386-388.
|
| [13] |
YANG S W, YU Y Y, WANG Y, et al. Gilbert double layer graft method for groin hernias in patients with ascites: a retrospective study of 81 patients[J]. Surgery, 2020, 168(1): 135-140.
|
| [14] |
SINGH D, HOLTON L, ANTOGNOLI L, et al. Strategies for operative management of abdominal wall hernia after solid organ transplant[J]. Plast Aesthet Res, 2020, 7: 39.
|
| [15] |
42nd annual European hernia society congress 2020[J]. Hernia, 2020, 24(1): 1-112.
|
| [16] |
CONSALVO V, D'AURIA F, SALSANO V. Chronic pain and discomfort in primary uncomplicated groin hernia: a prospective study comparing trans-abdominal pre-peritoneal (TAPP) to open repair surgery with a 3-year follow-up[J]. Surg Technol Int, 2020, 36: 119-123.
|
| [17] |
中华医学会外科学会疝和腹壁外科学组. 成人腹股沟疝股疝手术治疗方案(修订稿)[J]. 腹部外科, 2004, 17(1): 63-63.
|
| 1. |
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| |
| 2. |
刘玉玲，黄蓉. 多部位联合生物刺激反馈治疗结合神经发育疗法对脑性瘫痪患儿智力水平、交流功能及运动功能的影响. 中国医学工程. 2022(04): 112-116 .
| |
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马卫平. 小儿脑性瘫痪患儿检查视频脑电图、脑干听觉诱发电位、视觉诱发电位对早期诊断的应用价值. 数理医药学杂志. 2021(10): 1557-1559 .
| |
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