Laparoscopic high ligation and median umbilical fold onlay for adult inguinal hernia / 中国微创外科杂志

ABSTRACT

Objective To study the feasibility of laparoscopic high ligation and median umbilical fold onlay for the treatment of adult inguinal hernia.Methods Laparoscopic high ligation and median umbilical fold onlay was performed in 35 cases of adult inguinal hernia(including 5 cases of incarcerated hernia,12 cases of bilateral hernia,and 8 cases of recurrent hernia)from Janaury 2003 to August 2005.Surgical outcomes ad follow-up records were compared with those from another 30 cases of inguinal hernia treated by conventional surgery.Results The laparoscopic operation was successfully performed in all the 35 cases.As compared with conventional surgery,laparoscopic operation presented a shorter operation time(20.8?8.8 min vs 53.5?12.6 min;t=-12.262,P=0.000)and postoperative hospital stay(5.5?1.8 d vs 8.5?1.9 d;t=-6.529,P=0.000).Edema of scrotum was not found in laparoscopic cases but occurred in 11 out of 30 conventional cases(36.7%;?2=15.448,P=0.000).Follow-up examinations for 18.6?8.9 months found 2 cases of recurrence after conventional surgery and no recurrence after laparoscopic operation(?2=0.691,P=0.406).Conclusions Laparoscopic high ligation and median umbilical fold onlay is safe and feasible in the treatment of adult inguinal hernia.