应用局麻无张力疝修补术治疗复发性腹股沟疝34例

目的通过手术所见分析腹股沟疝术后复发的病因，总结局麻无张力疝修补术治疗复发性腹股沟疝的临床经验。方法回顾性分析和总结2006年1月至2008年1月收治复发性腹股沟疝患者34例（经典疝修补术后复发疝患者32例，其中Bassini13例，Ferguson9例，Halsted7例，Schouldice3例；无张力疝修补术后复发2例）行局麻无张力疝修补的临床资料。结果全组均治愈出院，术后阴囊水肿4例，阴囊血肿1例，随访6个月-2年无复发病例。结论要达到理想的复发疝修补效果和低复发率，应充分考虑复发的病因，术中进行分析，合理选择修补材料和个体化手术方法，规范技术操作，应用局麻无张力疝修补术是一种理想术式。

Tension-free herniorrhaphy operated under local anesthesia on 34 cases of recurrent inguinal hernia

Objective Analyse what we saw in the operation of inguinal hernia surgery to know the causes of recurrence, carry out tension-free herniorrhaphy for recurrent inguinal hernia by local anesthesia in practice.Methods The clinical data of tension-free herniorrhaphy carried out under local anesthesia in 34 cases of recurrent inguinal hernia patients from Jan-2006 to Jan-2008 were analyzed retrospectively. The procedures include 32 classical herniorrhaphy (13 Bassini,s method, and 9 Ferguson,s method, 7 Halsted,s method, 3 Schouldice,s method), 2 cases were tension-free herniorrhaphy.Results All patients were cured, complications occurred in 5 cases , 4 scrotal edema and 1 scrotal hematomas, in postoperative follow-up survey of 0.5-2 years ,34 cases were no recurrence.Conclusions To achieve the desired effect of recurrent herniorrhaphy and low recurrence rate, we should take full account of the cause of recurrence in the operation, take individual choice of surgical methods and repair materials, standardized technical operations. In our experience, the application of local anesthesia tension-free herniorrhaphy is safe and effective.