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Comparison of the outcomes of transabdominal preperitoneal approach(TAPP) through peritoneal incision higher above the deep inguinal ring and TAPP through peritoneal incision at the deep inguinal ring Hiroshi HIRUKAWA 1 , Takahiro OTANI 1 , Shintarou FUKUDA 1 1Department of Surgery, Tachikawa General Hospital Keyword: 高位腹膜切開 , 腹腔鏡下鼠径ヘルニア修復術 , 内鼠径輪切開 pp.47-55
Published Date 2023/3/15
DOI https://doi.org/10.11477/mf.4426201032
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 【Objective】The aim of this study is to compare the short-term results of transabdominal preperitoneal approach(TAPP)through peritoneal incision higher above the deep inguinal ring : H-TAPP and TAPP through circular or linear peritoneal incision at the deep inguinal ring : I-TAPP.【Methods】Using medical records, operative time, perioperative complications, and postoperative recurrence rate were compared retrospectively.【Results】207 patients were operated between 2020 and 2021, 106 cases were adjusted H-TAPP and 101 were I-TAPP. Mean operative times of unilateral cases were 109.5±23.6 minutes and 103.9±22.1 minutes respectively, mean postoperative hospital stays were 1.1±0.3 days, 1.3±0.6 days respectively. Postoperative complications included seroma and hematoma, both of which were resolved conservatively. There was no recurrence within both groups. There were no patients who complained of chronic pain. There were no significant statistical differences. Regarding the inserted mesh, a larger mesh was inserted in the H-TAPP technique.【Conclusions】TAPP through peritoneal incision higher above the deep inguinal ring is safe and feasible. Future randomized trials are warranted to compare the long-term results.


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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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