Radical Surgical Outcomes for Inguinal Hernia via the Transabdominal Preperitoneal Approach Using a Parietex Mesh

OUCHI Masakazu, FUKUNAGA Masaki, NAGAKARI Kunihiko, HIRASAKI Yoshinori, AZUMA Daisuke, KOHAMA Shintaro

doi:10.3919/jjsa.76.1831

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Other Title

鼠径部ヘルニアに対するパリテックスを用いたTAPP法の治療成績の検討
臨床経験鼠径部ヘルニアに対するパリテックスを用いたTAPP法の治療成績の検討
リンショウケイケンソケイブヘルニアニタイスルパリテックスオモチイタ TAPPホウノチリョウセイセキノケントウ

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Abstract

We studied 386 patients (453 lesions) with inguinal hernia that was treated via the transabdominal preperitoneal (TAPP) approach using Parietex^TM anatomical mesh M (13 × 9cm). The surgical outcomes were as follows : 1) The mean surgery time was 98.7 minutes for one side and 136.3 minutes for both sides, the mean bleeding volume was 3.7 mL, and the mean frequency of analgesic use was 1.4. 2) At the time of the first medical examination as outpatients, among 352 patients, 29 patients (8.2%) had pain in the diseased area, 4 patients (6.8%) had discomfort, 29 patients (8.2%) had seroma, and 5 patients (1.4%) had wound infection. 3) A questionnaire survey of 291 patients who were evaluated at more than 3 months after surgery revealed that 8 patients (2.7%) had chronic pain, 34 patients (11.6%) had discomfort, and 1 patient (0.3%) had swelling. None of the patients showed relapse. 4) Patient satisfaction considering the outcome was very good (a score of 5) in 219 patients (75.2%) and quite good (a score of 4) in 69 patients (31.5%). Until now, as there was no serious complication or recurrence and a low incidence of adverse events after surgery, it is suggested that the TAPP approach is useful and makes it possible to reinforce the diseased site in Japanese patients by using a 13 × 9cm mesh.

Journal

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 76 (8), 1831-1836, 2015

Japan Surgical Association

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