Page 55 - tmp

Laparoscopic TEP Using 3D Mesh to Treat Bilateral Inguinal Hernia

Figs 2A and B: Dissection of the (A) Anterior peritoneal cavity; and (B) Treatment of herniated sac

Figs 3A and B: Placing the artificial 3D mesh completely outside the peritoneum

Technical Characteristics examine complications (chronic pain, reticulum movement,
Mesh size, reinforced mesh fixation, complications, surgical reticulocytosis), recurrence rate, and causes (if any). Long-term
switching (open surgery or TAPP surgery), mesh placement and results were classified into four levels:
fixation time, and total surgery time. • Good: No complications, no recurrence
Short-term Results • Fair: Self-absorbed scrotal fluid.
• Moderate: Chronic pain in the groin and testicular cord that
Postoperative pain time, early complications, and hospital stays. responded to medical treatment within 1 year.
For pain level, we asked the patients to report their pain by using • Poor: Recurrence; chronic pain in the groin and testicular cord
a 10-point visual analog scale (VAS) 1, 2, and 3 days after surgery that lasted more than 1 year without response to medical
and classified patients into five levels: no pain (0), slight pain treatment or required surgical intervention; testicular atrophy.
(1–2), mild pain (3–4), moderate pain (5–6), severe pain (7–8), and
extreme pain (9–10). Short-term results were further classified
into four levels: Statistical Analysis
Data were collected and analyzed using SPSS 20.0 software (IBM
• Good: No complications after surgery. Corp., New York, USA). Descriptive statistics were performed
• Fair: Having complications but not requiring any interventions by using mean ± standard deviation (X ± SD) for continuous
such as epidermal numbness in the thigh area, hematoma, and variables, and frequency and percentage for categorical variables.
self-absorbed scrotal hematoma. Chi-squared and Fisher’s exact tests were used to examine
• Moderate: Having complications that require intervention but differences between left and right inguinal hernia. The p-value
not re-surgery such as urinary retention, scrotal hematoma, or <0.05 was used to determine statistical significance.
scrotal fluid accumulation that requires interventions, superficial
wound infection to separate the incision.
• Poor: Have to perform re-surgery or die during hospitalization. results
A total of 50 patients with bilateral inguinal hernia underwent TEP
Long-term Results laparoscopic surgery using artificial 3D mesh. The mean age of
Patients were scheduled to be re-examined at the time of 1 month, the patients was 52.1 ± 17.2 years old. All patients were male. Four
6 months, and 1 year after surgery and the end of the study to patients (8.0%) had a history of abdominal surgery, including two

World Journal of Laparoscopic Surgery, Volume 14 Issue 3 (September–December 2021) 197