CAJ | 학술논문

目的：探讨医用胶在双侧腹股沟疝行腹腔镜完全腹膜外疝修补术（totally extraperitoneal prosthesis，TEP）中的应用效果。方法对40例双侧腹股沟疝患者行 TEP 术，术中充分游离腹膜前间隙，精索骨骼化，平铺补片，用医用胶粘合固定。结果40例患者中，1例中转为经腹腔腹膜前修补术。手术时间95～130 min，平均（105．0±20．2）min；术后住院时间2～5 d，平均（3．0±0．3）d。术后并发腹股沟区血肿1例，皮下气肿2例，阴囊积液3例，附睾炎1例；随访5～48个月，平均（22．0±3．6）个月，无复发病例。结论医用胶在双侧腹股沟疝行腹腔镜完全腹膜外腹股沟疝修补术中应用安全有效。
목적：탐토의용효재쌍측복고구산행복강경완전복막외산수보술（totally extraperitoneal prosthesis，TEP）중적응용효과。방법대40례쌍측복고구산환자행 TEP 술，술중충분유리복막전간극，정색골격화，평포보편，용의용효점합고정。결과40례환자중，1례중전위경복강복막전수보술。수술시간95～130 min，평균（105．0±20．2）min；술후주원시간2～5 d，평균（3．0±0．3）d。술후병발복고구구혈종1례，피하기종2례，음낭적액3례，부고염1례；수방5～48개월，평균（22．0±3．6）개월，무복발병례。결론의용효재쌍측복고구산행복강경완전복막외복고구산수보술중응용안전유효。
Objective To investigate the clinical efficacy of medical glue in totally extraperito-neal bilateral laparoscopic inguinal hernia repair (TEP).Methods Forty patients with bilateral inguinal hernias received TEP.The preperitoneal space was dissociated and spermatic cord was skeletonized.The patch was fixed with medical glue.Results One patient was converted to transabdominal preperitoneal herniorrhaphy.The average operation time was (105.0±20.2)mi-nutes (range,95 to 130 minutes).The average length of postoperative hospital stay was (3.0± 0.3)days (range,2 to 5 days).After operation,1 patient had inguinal hematoma,2 patients had subcutaneous emphysema,3 patients had scrotal effusion,and 1 patient had epididymitis.No re-currence was found during an average follow-up of (22.0±3.6)months (range,5 to 48 months). Conclusion The medical glue can be safely and effectively used in TEP.