Laparoscopic Management of Concomitant Inguinal Hernia and Round Ligament Cysts.

IF 0.7 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Jcpsp-Journal of the College of Physicians and Surgeons Pakistan Pub Date : 2025-05-01 DOI:10.29271/jcpsp.2025.05.568

An Zhang, Haisong Xu, Tingting Cao, Wenhao Huang, Gongze Peng, Tianchong Wu

{"title":"Laparoscopic Management of Concomitant Inguinal Hernia and Round Ligament Cysts.","authors":"An Zhang, Haisong Xu, Tingting Cao, Wenhao Huang, Gongze Peng, Tianchong Wu","doi":"10.29271/jcpsp.2025.05.568","DOIUrl":null,"url":null,"abstract":"Objective: To evaluate and compare the efficacy and potential side effects of transabdominal preperitoneal repair (TAPP) and total extraperitoneal repair (TEP) for inguinal hernia with mesothelial cysts of uterine round ligament (IHMCURL) repair.Study design: Observational study. Place and Duration of the Study: Department of General Surgery, The Second Clinical Medical College of Jinan University, Shenzhen People's Hospital, Shenzhen, Guangdong, China, from January 2018 to December 2023.Methodology: Data on patient demographics, cyst characteristics, surgical duration, blood loss, postoperative pain scores, hospital stay, and occurrence of seroma were retrieved from medical charts and analysed for differences between patients who had received TAPP versus TEP.Results: The study population comprised 32 female patients diagnosed with inguinal hernia complicated by round ligament cysts who received surgical management, between 2018 and 2023. Of these, 17 (53.1%) patients underwent TEP repair, with the remaining 15 (46.9%) cases managed via the TAPP approach. Demographically, the patient cohorts were quite similar across both groups. Postoperative pain levels (VAS scores at 12 hours after surgery) were significantly lower in the TEP group (5.06 ± 1.676 vs. 6.20 ± 1.014, p <0.05). Hospitalisation time (1.59 ± 1.004 days vs. 2.47 ± 1.302 days, p <0.05) and the number of postoperative seromas (0 vs. 4, p <0.05) were also significantly lower in the TEP group. The mean operative time and intraoperative blood loss were comparable between the groups.Conclusion: As a surgical procedure for treating IHMCURL, TEP is superior to TAPP in terms of postoperative pain, length of hospital stay, and the incidence of postoperative seroma. Perhaps it can be considered as the preferred surgical procedure.Key words: Total extraperitoneal repair, Transabdominal preperitoneal repair, Female inguinal hernia, Mesothelial cyst of uterine round ligament.","PeriodicalId":54905,"journal":{"name":"Jcpsp-Journal of the College of Physicians and Surgeons Pakistan","volume":"35 5","pages":"568-573"},"PeriodicalIF":0.7000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Jcpsp-Journal of the College of Physicians and Surgeons Pakistan","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.29271/jcpsp.2025.05.568","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To evaluate and compare the efficacy and potential side effects of transabdominal preperitoneal repair (TAPP) and total extraperitoneal repair (TEP) for inguinal hernia with mesothelial cysts of uterine round ligament (IHMCURL) repair.

Study design: Observational study. Place and Duration of the Study: Department of General Surgery, The Second Clinical Medical College of Jinan University, Shenzhen People's Hospital, Shenzhen, Guangdong, China, from January 2018 to December 2023.

Methodology: Data on patient demographics, cyst characteristics, surgical duration, blood loss, postoperative pain scores, hospital stay, and occurrence of seroma were retrieved from medical charts and analysed for differences between patients who had received TAPP versus TEP.

Results: The study population comprised 32 female patients diagnosed with inguinal hernia complicated by round ligament cysts who received surgical management, between 2018 and 2023. Of these, 17 (53.1%) patients underwent TEP repair, with the remaining 15 (46.9%) cases managed via the TAPP approach. Demographically, the patient cohorts were quite similar across both groups. Postoperative pain levels (VAS scores at 12 hours after surgery) were significantly lower in the TEP group (5.06 ± 1.676 vs. 6.20 ± 1.014, p <0.05). Hospitalisation time (1.59 ± 1.004 days vs. 2.47 ± 1.302 days, p <0.05) and the number of postoperative seromas (0 vs. 4, p <0.05) were also significantly lower in the TEP group. The mean operative time and intraoperative blood loss were comparable between the groups.

Conclusion: As a surgical procedure for treating IHMCURL, TEP is superior to TAPP in terms of postoperative pain, length of hospital stay, and the incidence of postoperative seroma. Perhaps it can be considered as the preferred surgical procedure.

Key words: Total extraperitoneal repair, Transabdominal preperitoneal repair, Female inguinal hernia, Mesothelial cyst of uterine round ligament.

查看原文本刊更多论文

腹股沟疝伴发韧带囊肿的腹腔镜治疗。

目的：评价和比较经腹腹膜前修复术（TAPP）与全腹膜外修复术（TEP）治疗腹股沟疝合并子宫圆韧带间皮囊肿（IHMCURL）的疗效和潜在不良反应。研究设计：观察性研究。研究地点和时间：2018年1月至2023年12月，中国广东省深圳市，暨南大学第二临床医学院深圳市人民医院普外科。方法：从医学图表中检索患者人口统计学、囊肿特征、手术时间、出血量、术后疼痛评分、住院时间和血肿发生的数据，并分析接受TAPP和TEP的患者之间的差异。结果：研究人群包括2018年至2023年间诊断为腹股沟疝合并圆形韧带囊肿并接受手术治疗的32例女性患者。其中，17例（53.1%）患者接受了TEP修复，其余15例（46.9%）患者通过TAPP方法进行治疗。在人口统计学上，两组患者的队列非常相似。TEP组术后疼痛水平（术后12 h VAS评分）明显低于TAPP组（5.06±1.676比6.20±1.014,p）。结论：TEP作为治疗IHMCURL的手术方式，在术后疼痛、住院时间、术后血肿发生率等方面均优于TAPP。也许它可以被认为是首选的外科手术。关键词：全腹膜外修复术，经腹腹膜前修复术，女性腹股沟疝，子宫圆韧带间皮囊肿

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Jcpsp-Journal of the College of Physicians and Surgeons Pakistan MEDICINE, GENERAL & INTERNAL-

CiteScore

1.40

自引率

0.00%

发文量

453

审稿时长

3-6 weeks

期刊介绍： Journal of College of Physicians and Surgeons Pakistan (JCPSP), is the prestigious, peer reviewed monthly biomedical journal of the country published regularly since 1991. Established with the primary aim of promotion and dissemination of medical research and contributed by scholars of biomedical sciences from Pakistan and abroad, it carries original research papers, , case reports, review articles, articles on medical education, commentaries, short communication, new technology, editorials and letters to the editor. It covers the core biomedical health science subjects, basic medical sciences and emerging community problems, prepared in accordance with the “Uniform requirements for submission to bio-medical journals” laid down by International Committee of Medical Journals Editors (ICMJE). All publications of JCPSP are peer reviewed by subject specialists from Pakistan and locally and abroad.