摘要
探讨普理灵疝装置(PHS)在腹股沟疝修补术中应用的解剖学基础、使用特点以及手术中应注意的问题。方法:对52例使用普理灵疝装置行无张力修补术的腹股沟疝病人进行分析。结果:手术时间为25～70min,术后需临时使用止痛剂者6例,阴囊轻度肿胀者2例,术后无切口感染及血肿发生,平均住院时间为4.5d。随访无复发及腹股沟区明显异物感。结论:此装置能满足修补和加强耻骨肌孔区域的解剖学要求尤适用于巨大疝、复发疝、复合疝和老年疝的修补尤为适用。术中腹膜前间隙内下层片的充分展平、到位,是手术成功的关键。
Objective:To explore the applied anatomic basis of the Prolene Hernia System(PHS)and the key points in using this device.Methods:Fifty two patients using the PHS were analyzed retrospectively.Results:The operative time ranged from25min to70min.Post operatively,6patients had taken anodyne,and2patients experienced gentle scrotal swelling.No case developed incisional infection or hematoma.The mean hospitalization time was4.5days.During the short follow up period,no recurrence and discomfort in the inguinal region was observed.Conclusions:The PHS strengthens the myopectineal orifice and corrects existing anatomic defect(s).It is important to let the inlay mesh patch fully deployed in the pre peritoneal space in order to cover totally the myopectineal orifice.This device is especially preferred in treating aged patients having huge hernia,recurrent hernia or combined hernia.
出处
《外科理论与实践》
2002年第6期438-439,442,共3页
Journal of Surgery Concepts & Practice
