在腹腔镜TAPP腹股沟疝成形术中应用组织胶粘剂与订书钉进行网片固定

Q4 Medicine
M. Shetiwy, Ahmed M. Fareed, Magdy Basheer, Abdelrahman Albahy, A. Negm, Ashraf M. Shoma, Ashraf M Shoma
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引用次数: 0

摘要

背景:关于腹腔镜腹股沟疝修补术(LIHR)中补片固定的争论仍然很高,这在很大程度上受每个外科医生的个人偏好的影响。在本研究中,比较了在腹腔镜下经腹腹膜前(TAPP)中使用订书钉和组织粘接剂(Amcrylate)进行网片固定。方法:这是一项前瞻性随机对照研究,应用于100例腹股沟疝患者。采用封闭包膜法随机分为两组;I组50例既往行腹腔镜TAPP患者,采用组织粘接剂固定补片;pii组50例既往行腹腔镜TAPP患者,采用粘接剂固定补片。结果:各组患者术后第1天(P=0.018)、第10天(P<0.001)、第30天(P<0.001) VAS评分差异均有统计学意义,术前差异无统计学意义。6个月后Carolina’s Comfort Scale、补片感觉、运动受限、复发、并发症方面,各组间差异无统计学意义。结论:组织粘接剂网片固定术优于订书钉,术后伴随疼痛少,恢复工作早,未增加即刻复发率和并发症,慢性疼痛体验好,生活质量好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Use of Tissue Adhesive Versus Staples for Mesh Fixation in Laparoscopic TAPP Inguinal Hernioplasty
Background: There is a remaining high debate, about mesh fixation involved in laparoscopic inguinal hernia repair (LIHR) that is largely influenced by the individual preferences of each surgeon. In this research study, a comparison is done between mesh fixation in laparoscopic transabdominal preperitoneal (TAPP) using either staples or tissue adhesive (Amcrylate). Methods: This was a prospective randomized controlled study that was applied to 100 patients having an inguinal hernia. Patients included were randomly sorted into two groups based on the closed envelope method; Group I, involved 50 patients previously subjected to laparoscopic TAPP, and tissue adhesive was used for mesh fixation, and GroupII, involved 50 patients subjected to laparoscopic TAPP, and tackers were used for fixation of mesh. Results: We found a difference of statistical significance among the studied groups regarding the assessed VAS score on the 1st day (P=0.018), 10th day (P<0.001), and 30th days (P<0.001), post-operative with a difference that is not statistically significant pre-operative. The statistically analyzed difference among the studied groups was not significant regarding Carolina’s Comfort Scale after 6 months, Sensation of mesh, limitation of movement, recurrence, and complications. Conclusion: Mesh fixation using tissue adhesive is preferable to staples because of its association with less post-surgery accompanied pain, earlier return to work, no increase in prompt recurrence rates and complications, better chronic pain experience, and comparable life quality.
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来源期刊
Surgery, Gastroenterology and Oncology
Surgery, Gastroenterology and Oncology Medicine-Gastroenterology
CiteScore
0.30
自引率
0.00%
发文量
11
期刊介绍: Starting with this issue "Annals of Fundeni Hospital", founded in 1996 as the scientific journal of the prestigious hospital Fundeni becomes "Journal of Translational Medicine and Research" (JTMR), an Journal of the Academy of Medical Sciences of Romania. Therefore, an 18 years old Journal, attested and indexed in Elsevier Bibliographic Databases, Amsterdam and also indexed in SCOPUS, is continuing a tradition of excellence that lasted almost two decades. The new title of the Journal is inspired first of all from the important developments of translational research In Fundeni Clinical Institute and the "C.C Iliescu Institute for Cardio-Vascular Diseases", in parallel with the national and international trend to promote and develop this important area or medical research. Although devoted mainly to translational research, JTMR will continue to promote both basic and clinical research.
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