{"title":"腹腔镜髂耻道修补术与经腹腹膜前疝成形术治疗对侧腹股沟隐疝的比较。","authors":"Sung Ryul Lee, Geon Young Byun","doi":"10.1007/s10029-025-03426-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Metachronous contralateral inguinal hernia (MCIH) following unilateral inguinal hernia repair is a common cause of reoperation. Contralateral occult inguinal hernia (OIH) may cause MCIH. Transabdominal preperitoneal hernioplasty (TAPP) might be overtreatment for OIH repair; laparoscopic iliopubic tract repair (IPTR) may be an effective alternative but has not been robustly studied. We compared laparoscopic IPTR and TAPP in treating OIH.</p><p><strong>Methods: </strong>This retrospective observational cohort study included 701 patients aged ≥ 18 years who received treatment for inguinal hernia between September 2012 and December 2023; 90 patients were excluded owing to loss during follow-up. Patients were divided into TAPP (54 patients; mesh implantation) and laparoscopic IPTR (647 patients; suture of the iliopubic tract and transversalis fascia arch without mesh implantation) groups.</p><p><strong>Results: </strong>MCIH from repaired OIH occurred in one patient in the TAPP group and six patients in the IPTR group [1.9% (1/54) vs. 0.9% (6/647), respectively]; this difference was not significant. The postoperative complication rate was higher in the TAPP group than in the IPTR group [5.6% (3/54) vs. 0.8% (5/647), p < 0.001]. Inguinodynia occurred in one patient in each group. Postoperative pain scores, duration of hospitalization, and time to return to normal daily life did not differ significantly between groups.</p><p><strong>Conclusion: </strong>Laparoscopic IPTR is safe and effective for treating OIH and presents a viable alternative to TAPP.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"252"},"PeriodicalIF":2.4000,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison of laparoscopic iliopubic tract repair and transabdominal preperitoneal hernioplasty for contralateral occult inguinal hernia.\",\"authors\":\"Sung Ryul Lee, Geon Young Byun\",\"doi\":\"10.1007/s10029-025-03426-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Metachronous contralateral inguinal hernia (MCIH) following unilateral inguinal hernia repair is a common cause of reoperation. Contralateral occult inguinal hernia (OIH) may cause MCIH. Transabdominal preperitoneal hernioplasty (TAPP) might be overtreatment for OIH repair; laparoscopic iliopubic tract repair (IPTR) may be an effective alternative but has not been robustly studied. We compared laparoscopic IPTR and TAPP in treating OIH.</p><p><strong>Methods: </strong>This retrospective observational cohort study included 701 patients aged ≥ 18 years who received treatment for inguinal hernia between September 2012 and December 2023; 90 patients were excluded owing to loss during follow-up. Patients were divided into TAPP (54 patients; mesh implantation) and laparoscopic IPTR (647 patients; suture of the iliopubic tract and transversalis fascia arch without mesh implantation) groups.</p><p><strong>Results: </strong>MCIH from repaired OIH occurred in one patient in the TAPP group and six patients in the IPTR group [1.9% (1/54) vs. 0.9% (6/647), respectively]; this difference was not significant. The postoperative complication rate was higher in the TAPP group than in the IPTR group [5.6% (3/54) vs. 0.8% (5/647), p < 0.001]. Inguinodynia occurred in one patient in each group. Postoperative pain scores, duration of hospitalization, and time to return to normal daily life did not differ significantly between groups.</p><p><strong>Conclusion: </strong>Laparoscopic IPTR is safe and effective for treating OIH and presents a viable alternative to TAPP.</p>\",\"PeriodicalId\":13168,\"journal\":{\"name\":\"Hernia\",\"volume\":\"29 1\",\"pages\":\"252\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-08-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Hernia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s10029-025-03426-4\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hernia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10029-025-03426-4","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
Comparison of laparoscopic iliopubic tract repair and transabdominal preperitoneal hernioplasty for contralateral occult inguinal hernia.
Purpose: Metachronous contralateral inguinal hernia (MCIH) following unilateral inguinal hernia repair is a common cause of reoperation. Contralateral occult inguinal hernia (OIH) may cause MCIH. Transabdominal preperitoneal hernioplasty (TAPP) might be overtreatment for OIH repair; laparoscopic iliopubic tract repair (IPTR) may be an effective alternative but has not been robustly studied. We compared laparoscopic IPTR and TAPP in treating OIH.
Methods: This retrospective observational cohort study included 701 patients aged ≥ 18 years who received treatment for inguinal hernia between September 2012 and December 2023; 90 patients were excluded owing to loss during follow-up. Patients were divided into TAPP (54 patients; mesh implantation) and laparoscopic IPTR (647 patients; suture of the iliopubic tract and transversalis fascia arch without mesh implantation) groups.
Results: MCIH from repaired OIH occurred in one patient in the TAPP group and six patients in the IPTR group [1.9% (1/54) vs. 0.9% (6/647), respectively]; this difference was not significant. The postoperative complication rate was higher in the TAPP group than in the IPTR group [5.6% (3/54) vs. 0.8% (5/647), p < 0.001]. Inguinodynia occurred in one patient in each group. Postoperative pain scores, duration of hospitalization, and time to return to normal daily life did not differ significantly between groups.
Conclusion: Laparoscopic IPTR is safe and effective for treating OIH and presents a viable alternative to TAPP.
期刊介绍：
Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery.
Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.
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