Risk Factors for Peritoneal Tear in Laparoscopic Totally Extraperitoneal Inguinal Hernioplasty.

IF 1.2 4区医学 Q3 SURGERY

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques Pub Date : 2025-10-01 DOI:10.1097/SLE.0000000000001393

Turgut Donmez, Ahmet Surek, Nurettin Sahin, Göker Calis, Burak Atar, Alpen Y Gumusoglu, Sezer Bulut, Ferman T Ozyalvac, Hamit A Kabuli, Engin Hatipoglu

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引用次数: 0

Abstract

Introduction: Peritoneal tears (PTs) are an intraoperative complication that may occur during extraperitoneal space opening or hernia sac dissection in laparoscopic total extraperitoneal hernia repair (TEP) surgeries and are an important cause of conversion. There is also no consensus on the prevention and causes of this condition in TEP. The aim of this study was to evaluate the risk factors underlying the development of peritoneal tears during TEP.

Materials and methods: We included 288 consecutive patients who underwent TEP between May 2019 and December 2023. All data were collected retrospectively. Patients who developed PTs and those who did not develop PTs were compared in 2 groups. The demographic characteristics of the patients, hernia types, hernia defect diameters, surgery times, and intraoperative and postoperative complications were compared. Multivariate analysis identified independent risk factors for PTs in TEP.

Results: The overall incidence of PTs was 22.2% (n=64). The median age was 50.4±14.5 years and the body mass index was 25.9±2.9 kg/m 2 . Significant clinical factors associated with PTs included body mass i̇ndex (BMI), previous surgery, presence of scrotal hernia, and the defect size of inguinal hernia. Multivariate analysis identified independent risk factors for PTs: previous lower abdominal surgery and scrotal hernia.

Conclusion: Peritoneal tears are an intraoperative event that is the most important reason for conversion in TEP surgeries. The most important independent risk factors for peritoneal tear formation were scrotal hernia and previous lower abdominal surgery.

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腹腔镜腹股沟疝全腹膜外成形术中腹膜撕裂的危险因素。

腹膜撕裂（PTs）是腹腔镜全腹膜外疝修补术（TEP）中腹腔外间隙开放或疝囊剥离过程中可能发生的术中并发症，是导致转化的重要原因。对于TEP的预防和原因也没有共识。本研究的目的是评估TEP过程中腹膜撕裂发生的危险因素。材料和方法：我们纳入了288例在2019年5月至2023年12月期间连续接受TEP的患者。所有资料回顾性收集。将发生PTs和未发生PTs的患者分为两组进行比较。比较两组患者的人口学特征、疝类型、疝缺损直径、手术次数、术中术后并发症。多因素分析确定了TEP发生PTs的独立危险因素。结果：总发生率为22.2% （n=64）。中位年龄50.4±14.5岁，体重指数25.9±2.9 kg/m2。与PTs相关的重要临床因素包括体重指数（BMI）、既往手术、是否存在阴囊疝、腹股沟疝缺损大小。多变量分析确定了PTs的独立危险因素：以前的下腹部手术和阴囊疝。结论：腹膜撕裂是TEP手术中发生的最重要的术中事件。腹膜撕裂形成最重要的独立危险因素是阴囊疝和以前的下腹部手术。

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

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 医学-外科

CiteScore

2.00

自引率

10.00%

发文量

103

审稿时长

3-8 weeks

期刊介绍： Surgical Laparoscopy Endoscopy & Percutaneous Techniques is a primary source for peer-reviewed, original articles on the newest techniques and applications in operative laparoscopy and endoscopy. Its Editorial Board includes many of the surgeons who pioneered the use of these revolutionary techniques. The journal provides complete, timely, accurate, practical coverage of laparoscopic and endoscopic techniques and procedures; current clinical and basic science research; preoperative and postoperative patient management; complications in laparoscopic and endoscopic surgery; and new developments in instrumentation and technology.