Abstract: Objective: To evaluate the effects of modified laparoscopic total extraperitoneal hernia repair in treatment of inguinal hernia. Methods: 122 cases of inguinal hernia patients were all treated with modified laparoscopic total extraperitoneal hernia repair. The operation time, postoperative pain, active time post-operation, hospital stays, complications and relapse of all the patients were observed and recorded. Results: The average operation time, average VAS score , active time post-operation and hospital stays was respectively (52.6±7.7)min, (3.4±0.9), (13.9±3.8)h and (5.2±1.6)d. Among 122 patients, 5 patients suffered hydrocele of testes, 2 patients chronic pain, 5 patients hematoncus, 5 patients incision infection; the incidence of complications was 13.9%. The recurrence rate was 5.7% (7/122) during follow-up. Conclusions: Treating inguinal hernia with modified laparoscopic total extraperitoneal hernia repair has the advantages of light postoperative pain, quick recovery, fewer complications and low recurrence rate, so it has high reference value in clinical.

Key words: Inguinal hernia, Laparoscope, Total extraperitoneal hernia repair

摘要： 目的: 评价改良腹腔镜全腹膜外疝修补术治疗腹股沟疝的效果。方法: 122例腹股沟疝患者全部实施改良腹腔镜全腹膜外疝修补术,观察记录患者手术耗时、术后疼痛情况、手术结束至下床活动时间、术后住院时间、并发症发生情况和复发情况。结果: 全部患者平均手术耗时（52.6±7.7）min,术后平均VAS评分（3.4±0.9）分,手术结束至下床活动时间（13.9±3.8）h、术后住院时间（5.2±1.6）d。全部患者合计5人阴囊积液、2人发生慢性疼痛、5人血肿、5人切口感染,并发症发生率为13.9%。随访期间有7例病情复发,复发率为5.7%。结论: 采用改良腹腔镜全腹膜外疝修补术治疗腹股沟疝具有术后疼痛轻、恢复快、并发症少、复发率低的优点,在临床上具有较高的借鉴价值。

关键词: 腹股沟疝, 腹腔镜, 全腹膜外疝修补术