Application of straight needle three-tail non-kontting suture in peritoneal closure in transabdominal preperitoneal inguinal hernia repair
Abstract：Objective To investigate efficiency of straight needle three-tail non-kontting suture in peritoneal closure in transabdominal preperitoneal inguinal hernia repair (TAPP). Methods A total of 238 patients with inguinal hernia performed TAPP in the Sixth Affiliated Hospital of Sun Yat-sen University between December, 2013 and December, 2015 were enrolled into the study, including 120 patients in control group with traditional suture and 118 patients in experiment group with straight needle three-tail non-kontting suture. All the patients received TAPP operation under general anaesthesia. The difference between tow groups were compared in age, gender, BMI, hernia type, defective area, hernia sac handling, operative time, peritoneal closure time, hospitalization cost, postoperative complications, VAS score and recurrence rate. Results The mean operative time was(44.8 ± 2.7)min for experimental group and(50.3 ± 3.1)min for control group(t=7.243,P=0.025). The mean peritoneal closure time was(4.2 ± 0.7)min for experimental group and (9.8±1.1)min for control group(t=9.833,P=0.010). The mean cost was(8927.4±135.2)yuan for experimental group and (9232.5 ± 159.8)yuan for control group(t =4.782,P=0.041). There was no difference in mesh infection(P=0.759), recurrence(P=0.759), seroma(P=0.899)and VAS score(P=0.375)between two groups. Conclusion Compared with traditional method, straight needle three-tail non-kontting suture could reduce operative cost as well as shorten operative and peritoneal closure time, without increasing postoperative complications, pain and recurrence.
Keywords：laparoscopeperitoneal closuretransabdominal preperitoneal inguinal hernia repair
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 907-910 )