Prospective randomized study comparing mesh displacement in enhanced-view totally extraperitoneal versus totally extraperitoneal laparoscopic inguinal hernia repair without mesh fixation.
Abdullah Hilmi Yilmaz, Mehmet Esref Ulutas, Saim Turkoglu
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引用次数: 0
Abstract
Purpose: In laparoscopic inguinal hernia repair, it is thought that the mesh can be displaced more in the enhanced-view totally extraperitoneal (eTEP) technique. The aim of this study was to compare eTEP and totally extraperitoneal (TEP) techniques without mesh fixation in terms of mesh displacement and hernia recurrence.
Methods: Between December 2022 and April 2023, 60 consecutive patients with unilateral inguinal hernia were randomized into two groups; eTEP group (n = 30) and TEP group (n = 30). There was without mesh fixation in both groups. Study was registered at http://Clinicaltrials.gov (NCT06070142). The mesh was marked with three radiopaque clips. Pelvic radiographs were performed to evaluate the displacement of the mesh. The primary outcome of this study was mesh displacement. In addition, this is the first study in the literature to compare eTEP and TEP techniques in terms of mesh displacement without fixation in laparoscopic inguinal hernia.
Results: There was no significant difference between the groups in terms of mesh displacement, recurrence, postoperative VAS scores, length of hospital stay, hematoma, and seroma formation. The operation time was higher in the eTEP group and was statistically significant.
Conclusion: Without mesh fixation, the eTEP technique does not increase the risk of mesh displacement and recurrence. The eTEP technique can be safely applied without mesh fixation in laparoscopic inguinal hernia repairs.
目的:在腹腔镜腹股沟疝修补术中,有观点认为增强视野完全腹膜外(eTEP)技术可使网片移位更多。本研究旨在从网片移位和疝气复发的角度,比较 eTEP 和无网片固定的完全腹膜外(TEP)技术:方法:2022年12月至2023年4月期间,将60例单侧腹股沟疝患者随机分为两组:eTEP组(30例)和TEP组(30例)。两组均无网片固定。研究已在 http://Clinicaltrials.gov(NCT06070142)上注册。网片上有三个不透射线的夹子。盆腔 X 光片用于评估网片的移位情况。这项研究的主要结果是网片移位。此外,这是文献中第一项比较 eTEP 和 TEP 技术在腹腔镜腹股沟疝无固定情况下网片移位情况的研究:结果:两组在网片移位、复发、术后 VAS 评分、住院时间、血肿和血清肿形成方面无明显差异。eTEP 组的手术时间更长,且有统计学意义:结论:在没有网片固定的情况下,eTEP 技术不会增加网片移位和复发的风险。结论:在没有网片固定的情况下,eTEP 技术不会增加网片移位和复发的风险,可以安全地应用于腹腔镜腹股沟疝修补术中:临床试验编号:NCT06070142:试验注册:临床试验编号:NCT06070142。