Comparative Analysis of the Anterior and Posterior Approaches of the Posterior Rectus Sheath in Single-port TEP Surgery

Chengmin SHI; Tong ZHANG; Zhizhong WU; Huayou LUO; Yujian ZENG

doi:10.12259/j.issn.2095-610X.S20230522

Volume 44 Issue 5

May 2023

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Chengmin SHI, Tong ZHANG, Zhizhong WU, Huayou LUO, Yujian ZENG. Comparative Analysis of the Anterior and Posterior Approaches of the Posterior Rectus Sheath in Single-port TEP Surgery[J]. Journal of Kunming Medical University, 2023, 44(5): 107-110. doi: 10.12259/j.issn.2095-610X.S20230522

Citation:

Chengmin SHI, Tong ZHANG, Zhizhong WU, Huayou LUO, Yujian ZENG. Comparative Analysis of the Anterior and Posterior Approaches of the Posterior Rectus Sheath in Single-port TEP Surgery[J]. Journal of Kunming Medical University, 2023, 44(5): 107-110. doi: 10.12259/j.issn.2095-610X.S20230522

Citation:

Chengmin SHI, Tong ZHANG, Zhizhong WU, Huayou LUO, Yujian ZENG. Comparative Analysis of the Anterior and Posterior Approaches of the Posterior Rectus Sheath in Single-port TEP Surgery[J]. Journal of Kunming Medical University, 2023, 44(5): 107-110. doi: 10.12259/j.issn.2095-610X.S20230522

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Comparative Analysis of the Anterior and Posterior Approaches of the Posterior Rectus Sheath in Single-port TEP Surgery

doi: 10.12259/j.issn.2095-610X.S20230522

1.
Dept. of Gastrointestinal Surgery，The 1st Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650032
2.
Dept. of Gastrointestinal and Burn Plastic Surgery，People’s Hospital of Pu’er，Pu’er Yunnan 665099，China

Received Date: 2023-01-24
Available Online: 2023-05-05
Publish Date: 2023-05-25

Abstract

Abstract

Objective To explore the advantages and disadvantages of different approaches of single-incision laparoscopic surgery for the totally extraperitoneal inguinal hernia repair （SILS-TEP）. Methods The data of single-port laparoscopic total extraperitoneal inguinal hernia repair （SILS-TEP） in the same surgical group of the First Affiliated Hospital of Kunming Medical University were retrospectively analyzed. According to the different surgical approaches, 65 patients with the inguinal hernia were divided into two groups: The anterior approach of rectus abdominis posterior sheath group and the posterior approach of rectus abdominis posterior sheath group. The bleeding during the operation, the proportion of peritoneal damage and the recurrence were observed one month after the operation. Results In this study, it was found that there was a significant difference in bleeding volume between the two surgical approaches, with a statistically significant difference （P = 0.001）. There was no statistically significant difference in the proportion of intraoperative peritoneal damage （P = 0.655）. According to the clinical and ultrasound examinations, there were no recurrent cases within 1 month after the surgery. Conclusion The choice of different approaches for SILS-TEP surgery is safe and reliable in experienced surgical teams.The risk of bleeding in the posterior sheath approach of rectus abdominis is slightly higher, but there is no significant difference between the intraoperative peritoneal damage rate and the anterior sheath approach of rectus abdominis. Through reasonable selection of patients, both approaches can achieve satisfactory clinical effects, and it is still suggested that the posterior rectus abdominis sheath anterior approach be more reasonable for beginners.
- Single-incision,
- Laparoscopic,
- Inguinal hernia,
- Complete external peritoneal hernia repair

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References(16)

References

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