Chinese Journal of Clinical Anatomy >
The clinical use and significance of the spatial anatomical separation of myopectineal orifice in totally extraperitoneal prosthesis for repair of inguinal hernia
Received date: 2013-12-11
Online published: 2014-06-04
Objective To investigate the significance of using laparoscope technology to identify the spatial anatomy of myopectineal orifice in totally extraperitoneal prosthesis for inguinal hernia. Methods Data of 272 TEP cases from 2005 to 2013 was analyzed retrospectively. The myopectineal orifice was divided into 4 spaces during the operation, and the 4 spaces were anatomically separated one by one. Results Proper anatomical landmarks were used to divide the myopectineal orifice into four spaces, and the four spaces finally formed a larger space. All the cases were operated using the technique of spatial anatomical separation of myopectineal orifice. The mean surgical length was 48 minutes (28~60), and the mean postoperative hospitalization length was 5 days(3~8). 2 cases had scrotal seroma after the operation, which were both cured with suction. No recurrence, infection, chronic pain, testicular atrophy and ejaculation pain appeared. Conclusions The technique of spatial anatomical separation of myopectineal orifice shortened the learning time of mastering TEP, deepened the understanding ofthe complicated anatomy of myopectineal orifice and the structure behind it, which can lead to more efficient operation and fewer surgical complications.
HUA Wei , LIANG Zhi-Hong , DIAO Xiang-Wen , DING Ji-Wei , SHANG Chi-Beng , DING Zi-Hai . The clinical use and significance of the spatial anatomical separation of myopectineal orifice in totally extraperitoneal prosthesis for repair of inguinal hernia[J]. Chinese Journal of Clinical Anatomy, 2014 , 32(3) : 351 -353 . DOI: 10.13418/j.issn.1001-165x.2014
[1] 陈双．腹股沟疝外科学
[M]．广州：中山大学出版社．2005:28-29.
[2] 马颂章, 李基业, 郑民华. 成人腹股沟疝、股疝手术治疗方案（2003年修订稿）
[J]. 中华外科杂志, 2004, 42(14)：834-836.
[3] 李健文, 张云. 腹腔镜腹股沟疝修补术合理应用再思考
[J]. 中国实用外科杂志, 2012, 32(6)：445-447.
[4] 陈双, 杨斌, 江志鹏, 等. 欧洲疝学会《成人腹股沟疝治疗指南》的解读
[J]. 中华疝和腹壁外科杂志（电子版）2011, 5(2)：251-255.
[5] Mirilas P, Colborn GL, McClusky DA, et al. The history of anatomy and surgery of the preperitoneal space
[J]. Arch Surg, 2005, 140(1):90-94.
[6] 汤治平, 赵象文, 梁志宏, 等. 腹膜外间隙空间的建立与细分对耻骨肌孔后腹股沟疝修补术的意义
[J]. 解剖学研究, 2010, 32(5)：344-348.
[7] Wolloscheck T, Konerding MA. Demensions of the myopectineal orifice: a human dadaver study
[J] . Hernia, 2009, 13(6):639-642.
[8] 汤治平, 谭敏, 张金成. 腹腔镜腹股沟疝修补术与无张力疝修补术的随机对比研究
[J]．腹腔镜外科杂志, 2007, 8(5)：391-393.
[9] 李健文，郑民华．腹腔镜腹股沟疝修补术的操作要点
[J]．外科理论与实践, 2008, 13(6):516-519.
[10] 戎祯祥, 陆光生. 腹腔镜下完全腹膜外补片植入(TEP)治疗腹股沟疝600例的体会
[J]. 岭南现代临床科, 2009, 9(6)：411-422.
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