Characteristics of pantaloon inguinal hernia and evaluation of added laparoscopic iliopubic tract repair to transabdominal preperitoneal hernioplasty: a retrospective observational study.

IF 1.2 4区医学 Q3 SURGERY

Annals of Surgical Treatment and Research Pub Date : 2024-06-01 Epub Date: 2024-05-30 DOI:10.4174/astr.2024.106.6.361

Sung Ryul Lee

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引用次数: 0

Abstract

Purpose: Pantaloon hernia (PH), defined as concurrent ipsilateral direct and indirect inguinal hernias, is known for its high postoperative recurrence rate. This study retrospectively investigated the characteristics of PHs and evaluated the safety and efficacy of incorporating laparoscopic iliopubic tract repair (IPTR) into transabdominal preperitoneal (TAPP) hernioplasty.

Methods: A total of 3,355 patients who underwent TAPP hernioplasty for groin hernias between October 2014 and December 2021 were analyzed. These patients were divided into 2 groups: PH (97 patients) and non-PH (3,258 patients). The PH group was further subdivided based on the surgical technique used: TAPP hernioplasty without IPTR (TAPP group, 39 patients) and TAPP hernioplasty with IPTR for defect closure (TAPP + IPTR group, 58 patients).

Results: The study included 93 male and 4 female patients with PH. Patients with PH were generally older and predominantly male compared to the non-PH group. The recurrence rate in the PH group was notably higher than in the non-PH group (2.1% [2 of 97] vs. 0.2% [6 of 3,258], respectively; P = 0.007). Among the PH group, reoperations were more frequent in the TAPP group compared to the TAPP + IPTR group (10.3% [4 of 39] vs. 0% [0 of 58], respectively; P = 0.048). The reasons for reoperation in the PH group included recurrences (2 patients), mesh bulge (1 patient), and chronic seroma (1 patient).

Conclusion: TAPP + IPTR hernioplasty is an acceptable approach in PH treatment, reducing reoperation.

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泛腹股沟疝的特征和经腹腹膜前疝成形术后增加腹腔镜髂腹股沟修补术的评估：一项回顾性观察研究。

目的：同侧直接和间接腹股沟疝（Pantaloon hernia，PH）因术后复发率高而闻名。本研究回顾性调查了PH的特征，并评估了将腹腔镜髂耻骨束修补术（IPTR）纳入经腹腹膜前疝成形术（TAPP）的安全性和有效性：分析了2014年10月至2021年12月期间因腹股沟疝而接受TAPP疝成形术的3355名患者。这些患者被分为两组：PH组（97例）和非PH组（3258例）。PH 组根据所使用的手术技术进一步细分：不使用 IPTR 的 TAPP疝成形术（TAPP 组，39 例患者）和使用 IPTR 进行缺损闭合的 TAPP疝成形术（TAPP + IPTR 组，58 例患者）：研究包括 93 名男性 PH 患者和 4 名女性 PH 患者。与非PH组患者相比，PH组患者一般年龄较大，以男性为主。PH组的复发率明显高于非PH组（分别为2.1%[97例中的2例] vs. 0.2% [3258例中的6例]；P = 0.007）。在 PH 组中，与 TAPP + IPTR 组相比，TAPP 组再次手术的频率更高（分别为 10.3% [39 例中的 4 例] 对 0% [58 例中的 0 例]；P = 0.048）。PH组再次手术的原因包括复发（2例患者）、网片隆起（1例患者）和慢性血清肿（1例患者）：结论：TAPP + IPTR疝成形术是治疗PH的一种可接受的方法，可减少再次手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Surgical Treatment and Research SURGERY-

CiteScore

2.30

自引率

7.10%

发文量

期刊介绍： Manuscripts to the Annals of Surgical Treatment and Research (Ann Surg Treat Res) should be written in English according to the instructions for authors. If the details are not described below, the style should follow the Uniform Requirements for Manuscripts Submitted to Biomedical Journals: Writing and Editing for Biomedical Publications available at International Committee of Medical Journal Editors (ICMJE) website (http://www.icmje.org).