Therapeutic efficacy of programmed spatial anatomy of the myopectineal orifice in total extraperitoneal hernioplasty: a retrospective study

• Published in: Scientific reports Vol. 13; no. 1; p. 2711
• Main Authors: Zhuang, Lin, Li, Yuanjiu, He, Wei, Zhou, Xiaodong, Chen, Yan, Wang, Xiaozhong, Wang, Bo, Xu, Xuezhong, Wu, Kejia, Zhang, Qiutao, Xi, Dong, Lu, Yunjie
• Format: Journal Article
• Language: English
• Published: London Nature Publishing Group UK 15-02-2023; Nature Publishing Group; Nature Portfolio
• Subjects: 692/308; 692/308/2779/109; 692/308/409; Abdomen; Adult; Anatomy; Chronic pain; Complications; Hernia; Hernia, Inguinal - surgery; Hernias; Herniorrhaphy - methods; Hospitals; Humanities and Social Sciences; Humans; Laparoscopy; Laparoscopy - adverse effects; Laparoscopy - methods; Ligaments; Male; multidisciplinary; Patients; Postoperative; Postoperative Complications - etiology; Postoperative Complications - surgery; Precision medicine; Retrospective Studies; Science; Science (multidisciplinary); Sensory neurons; Surgery; Treatment Outcome
• ISSN: 2045-2322; 2045-2322
• DOI: 10.1038/s41598-023-29671-0

This study aimed to investigate the therapeutic efficacy of programmed spatial anatomy of myopectineal orifice technique in laparoscopic total extraperitoneal hernioplasty (TEP) surgery. A total of 121 adult male patients with unilateral inguinal hernias who underwent TEP in the Department of General Surgery, Wujin Hospital, affiliated with Jiangsu University, from January 2019 to December 2020 were selected. Patients were divided into the procedural (63 cases) and traditional groups (58 cases) according to the surgical methods adopted. The procedural group underwent programmed spatial anatomy of the myopectineal orifice combined with TEP, and the traditional group underwent traditional TEP. The perioperative evaluation indicators and postoperative complications were observed and compared between the two groups. Compared with the traditional group, the time of handling hernia, the intraoperative operation time, intraoperative blood loss, postoperative ambulation time, and postoperative hospital stay in the procedural group were significantly reduced (
P
 < 0.05). The incidence of postoperative complications such as sensory nerve abnormalities and chronic pain was significantly decreased (
P
 < 0.05), and the total incidence of complications in the procedural group was significantly lower than that in the traditional group (
P
 < 0.05). While there was no significant difference in postoperative incision infection (
P
 > 0.05). The programmed spatial anatomy of the myopectineal orifice can significantly improve the treatment outcome of TEP, significantly improve the patients' intraoperative and postoperative indicators, and reduce the incidence of postoperative complications. It is worthy of being promoted among young physicians and basic hospitals.