摘要
目的探讨疝环充填式无张力疝修补术治疗腹股沟嵌顿疝的临床效果。方法采用美国巴德公司的聚丙烯锥形充填物及成型补片对45例腹股沟斜疝嵌顿施行疝环充填式无张力疝修补术。结果手术时间48～98min,平均75min。术后12～24h均下床活动。切口疼痛2～4d。术后切口脂肪液化2例,排尿困难2例。术后住院3～10d,平均5d。39例随访5～18个月,平均125月,无复发。结论疝环充填式无张力疝修补术具有安全、创伤小、恢复快、术后复发率低的优点,对嵌顿疝可Ⅰ期成功修补,临床效果满意。
Objective To evaluate the clinical effect of tension-free mesh-plug repair in the treatment of inguinal incarcerated hernia. Methods The mesh & plug tension-free hernia repair was administered in 45 patients with incarcerated indirect hernia using the Bard Mesh PerFix Plug. Results The operation time was 48～98 min (mean, 75 min). The patients got out of bed 12～24 hours after surgery. Wound pain lasted 2～4 days. Postoperative subcutaneous hydrops occurred in 2 patients and dysuria happened in 2 patients. The postoperative hospital stay was 3～10 days (mean, 5 days). Follow-up for 5～18 months (mean, 12.5 months) in 39 patients found no recurrence. Conclusions Tension-free mesh-plug repair has advantages of reliability, minimal invasion, rapid recovery and low recurrence rate. This method can be applied to those with incarcerated hernia with satisfactory outcomes.
出处
《中国微创外科杂志》
CSCD
2004年第5期425-426,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
腹股沟斜疝
嵌顿疝
疝修补术
Inguinal indirect hernia
Incarcerated hernia
Hernioplasty
