The effect of arcuate line variation on trans-arcuate line single-port laparoscopic totally extraperitoneal inguinal hernia repair
Objective:To investigate the influence of arcuate line position variation on single-port laparoscopic totally extrape-ritoneal inguinal hernia repair via arcuate line approach.Methods:A retrospective analysis was performed for the location of the arcuate line in 80 patients with inguinal hernia from Jan.2021 to Jul.2022.Patients were divided into three groups according to the distance from the umbilicus to arcuate line:classical group(4～5 cm),high group(＜4 cm),and low group(＞5 cm).The operation time,blood loss,postoperative complications,and pain score on postoperative day 1 of three groups were recorded.Results:Among the 80 patients,40(50%)were in the classic group,17(21.25%)in the high group,23(28.75%)in the low group,and the operation time,post-operative hospital stay in the low group were significantly longer than those in the high group and the classic group,and surgical blood loss in the low group was more than that in the high group and the classic group,and the postoperative pain score was higher in the low group than that in the high group and the classic group,the differences were statistically significant(P＜0.05).There was no significant difference in the incidence of peritoneal injury and subcutaneous emphysema among the three groups(P＞0.05).Conclusions:Arcuate line variation has an effect on trans-arcuate line laparoscopic single port totally extraperitoneal inguinal hernia repair,understanding the variations is conducive to mastering this operation.
Hernia,inguinalTotally extraperitoneal herniorrhaphyLaparoscopySingle-portArcuate line
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