Comparison of enhanced view-totally extraperitoneal technique and totally extraperitoneal technique in S1 scrotal hernia repair.

IF 0.5 Q4 SURGERY
Abdullah Hilmi Yılmaz, Mehmet Eşref Ulutaş
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引用次数: 0

Abstract

Objective: The treatment of scrotal hernias may vary according to the surgeon's experience. Although open anterior approaches are mostly preferred, specialized hernia surgeons prefer laparoscopic approaches. The study evaluated the safety and efficacy of the laparoscopic enhanced view-totally extraperitoneal (eTEP) technique and the laparoscopic totally extraperitoneal (TEP) technique in treating scrotal hernias.

Material and methods: The retrospective cohort study compared patients with unilateral scrotal hernia who underwent eTEP or TEP from November 2022 to October 2023. The two groups were compared in demographic characteristics and operative and postoperative data. The main result of this study was the recurrence rate.

Results: A study analyzed 54 patients: 30 underwent the eTEP technique, and 24 underwent the TEP technique. No significant difference was observed between the groups regarding recurrence rates, incidence of chronic pain, time of the surgical procedure, length of stay, time taken to resume daily activities, pneumoperitoneum occurrence, and complications, particularly hematoma and seroma formation. Patients were followed up for an average of 19 months (±5.2).

Conclusion: The comparison of the eTEP technique to traditional TEP for scrotal hernia repair has not demonstrated any conclusive evidence of the superiority of eTEP. The outcomes associated with the eTEP technique were found to be comparable to those of TEP, with an average follow-up period of 19 months. Similar to TEP, the eTEP technique demonstrates both safety and feasibility in the management of scrotal hernias. Furthermore, it is necessary for prospective randomized studies to compare these two techniques directly, specifically in the realm of scrotal hernia repair.

增强视点全腹膜外技术与全腹膜外技术在S1阴囊疝修补中的比较。
目的:阴囊疝的治疗方法可根据术者的经验而有所不同。虽然开放的前路是首选,专业疝气外科医生更喜欢腹腔镜入路。本研究评价了腹腔镜全腹膜外强化视点(eTEP)技术和腹腔镜全腹膜外(TEP)技术治疗阴囊疝的安全性和有效性。材料和方法:回顾性队列研究比较了2022年11月至2023年10月期间接受eTEP或TEP治疗的单侧阴囊疝患者。比较两组患者的人口学特征和手术及术后资料。本研究的主要结果是复发率。结果:本研究分析了54例患者:30例行TEP技术,24例行TEP技术。两组在复发率、慢性疼痛发生率、手术时间、住院时间、恢复日常活动时间、气腹发生率、并发症(特别是血肿和血肿形成)方面无显著差异。患者平均随访19个月(±5.2)。结论:在阴囊疝修补术中,eTEP技术与传统TEP技术的比较并不能证明其优越性。eTEP技术的相关结果与TEP相当,平均随访时间为19个月。与TEP类似,eTEP技术在治疗阴囊疝方面具有安全性和可行性。此外,有必要进行前瞻性随机研究,直接比较这两种技术,特别是在阴囊疝修复领域。
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
CiteScore
1.20
自引率
0.00%
发文量
16
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