Abstract:
Objective To evaluate the efficacy of using gauze for blunt dissection of the preperitoneal space during laparoscopic transabdominal preperitoneal hernioplasty (TAPP).
Methods A retrospective analysis was performed on 136 patients with inguinal hernia who underwent TAPP at the Nanhai District People's Hospital from January to July 2017. The patients were divided into either a gauze dissection group (n=36) or a direct dissect group (n=100) according to the surgical instruments used. The time taken to dissect the preperitoneal space and the amount of blood loss were compared between the two groups by using t-test. The incidence of intraoperative peritoneal injury was compared between the two groups by chi-squared test.
Results No recurrence was found in 136 patients after surgery during the 1-year outpatient or telephone follow-up. The average operation time was significantly shorter [(18.97±2.86) min vs (24.84±4.25) min, t=-9.181, P=0.027], the amount of blood loss was significantly less [(6.29±2.82) ml vs (8.94±4.17) ml, t=-4.212, P=0.001], and the incidence of peritoneal rupture was significantly lower [3.03% (3/36) vs 25.00% (25/100), χ2=4.497, P=0.034] in the gauze dissection group than in the direct dissection group.
Conclusion In TAPP, the application of gauze can effectively shorten the operation time, decrease the intraoperative blood loss, and reduce the incidence of intraoperative peritoneal damage.
Key words:
Transabdominal preperitoneal hernioplasty,
Gauzel,
Blunt dissection technique
Chong Wang, Dandong Luo, Rongrong Qu, Guanqun Huang. Efficacy of using gauze for blunt dissection of the preperitoneal space during laparoscopic transabdominal preperitoneal hernioplasty[J]. Chinese Journal of Clinicians(Electronic Edition), 2020, 14(09): 690-693.