共查询到19条相似文献,搜索用时 218 毫秒
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目的 探讨局部麻醉下Kugel补片腹膜前间隙修补腹股沟疝的疗效.方法 对30例腹股沟疝患者在局部麻醉下行Kugel补片腹膜前间隙修补术.结果 30例患者均手术顺利,麻醉效果满意,手术时间为(45±12)min,术后均未使用镇痛剂,住院时间4~7 d,均痊愈出院.术后随访9~12个月无复发,无明显异物感及术后慢性疼痛.结论 局部麻醉下Kugel补片腹膜前间隙修补腹股沟疝为患者提供性价比高、微创、无张力的疝修补方式,但由于手术开展时间和病例数限制,远期疗效还需要进一步随访观察. 相似文献
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自膨式补片在腹股沟疝修补术中的应用 总被引:2,自引:0,他引:2
目的:评价自膨胀式补片(Kugel补片)在腹股沟疝修补术中的作用。方法:回顾性分析28例腹股沟疝,腹股沟斜疝22例,直疝6例。根据中华外科学会和腹壁外科学组,腹股沟疝、股疝和腹壁切口疝手术治疗方案(草案)分型:Ⅱ型18例,Ⅲ型10例。全部病例均使用美国巴德Kugel补片修补。结果:28例Kugel补片修补术后结果满意,短期随访效果良好。结论:Kugel补片术是安全和微创的无张力疝修补术,熟悉腹膜前间隙的解剖是手术的关键。 相似文献
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吴长华 《实用临床医学(江西)》2013,(9):69-70
目的 探讨应用仿mesh-plug裁剪网片在无张力疝修补术治疗腹股沟疝的近期治疗效果.方法 使用疝环充填物及网状补片(Prolene网片仿mesh-plug定型产品,自制网塞加平片)对50例各类腹股沟疝患者进行无张力修补治疗,记录手术时间及术后患者恢复、并发症及复发率情况.结果 所有患者均顺利完成手术,手术时间35~50 min,平均40.5 min.患者术后4~6 h能自行排尿,切口疼痛时间2~3 d,伤口愈合出院时间7~9 d,无一例伤口感染.随访3~24个月,无复发.结论 无张力疝修补术更符合人体解剖结构的治疗腹股沟疝手术方法. 相似文献
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目的 总结贝朗补片在腹股沟疝无张力修补术中应用的临床经验。方法使用贝朗补片,对87例各类腹股沟疝行无张力修补治疗。对手术时间、术后患者自主能力的恢复、术后切口疼痛、并发症、住院时间和复发率等进行观察。结果本组手术时间20-75分钟,平均42分钟,术后2~6小时均可下床活动,无1例术后使用吗啡类止痛剂,术后尿潴留7例,阴囊积液1例,切口皮下积液2例。无血肿、切口感染,均Ⅰ期愈合。术后3-6天出院,平均4.5天。所有病例随访6~36月,无复发。结论贝朗补片用于腹股沟疝无张力修补术符合人体解剖生理特点,较传统手术更有优势。 相似文献
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李胜春 《国外医学:护理学分册》2013,(10):2396-2397
目的 探讨无张力补片修补术治疗腹股沟疝的护理特点.方法 回顾性分析我院2009年7月至2012年7月收治的120例采用无张力补片修补术治疗腹股沟疝患者的临床资料,总结围术期护理经验.结果 所有患者均顺利完成手术,无切口感染发生,均痊愈出院.对所有患者随访1~10个月,无1例复发,也没有护理方面并发症发生.结论 有效的围术期护理是保证手术成功的关键,能够降低术后复发率.因此,护理人员应该在充分了解无张力补片修补术治疗腹股沟疝的方法和优点的基础上,对患者的身心特点进行熟练地掌握,切实提高护理工作效率和工作质量. 相似文献
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Yoshihisa Yaguchi Tsuyoshi Inaba Yoshimasa Kumata Masahiro Horikawa Takashi Kiyokawa Ryoji Fukushima 《Asian journal of endoscopic surgery》2018,11(1):71-74
We performed transabdominal preperitoneal inguinal hernia repair in 46 patients (58 diseases), two of whom experienced early recurrence after mesh repair. Case 1 was a 76‐year‐old man with a bilateral inguinal hernia (recurrence site, left indirect hernia) after appendectomy. The recurrence occurred 1 month after transabdominal preperitoneal inguinal hernia repair. The mesh was dislocated to the lateral side, and we repaired it using the direct Kugel ® patch with an anterior technique. Case 2 was a 79‐year‐old man with a bilateral inguinal hernia (recurrence site, right direct hernia with an orifice >3 cm) after appendectomy. The recurrence occurred 3 months after transabdominal preperitoneal inguinal hernia repair. The mesh was dislocated to the lateral side, and we repaired it using an ULTRAPRO ® Plug with an anterior technique under laparoscopic observation. We believe the recurrences resulted from insufficient internal exfoliation and fixation affected by complicated exfoliation of the preperitoneal space with omental adhesion after intraperitoneal surgery. 相似文献
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目的:探讨脐外侧襞疝修补手术在腹股沟嵌顿疝中的应用价值。方法-选择腹股沟嵌顿疝并肠梗阻65例患者实施经腹疝内容物还纳,缝合疝囊颈口腹横肌,利用脐外侧襞对疝内口腹壁薄弱区域进行修。结果:62例患者成功进行手术.3例因肥胖脐外侧襞不明显,游离疝囊,缝合封闭内环口及周围腹膜,手术时间35~90min,平均56min,术后8~12h患者能下床活动,腹腔引流管均在术后2~4d内拔除,平均住院时间6.8d。所有患者无切口感染、肠漏、腹腔脓肿、愎膜炎、肠梗阻等并发症发生,康复出院。所有病例术后随访3~36个月,复查无复发。结论:根据患者情况有选择经腹利用脐外侧襞修补腹股沟嵌顿疝是一种安全、有效、可行的方法,值得推广。 相似文献
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Patients with groin herniae do not always seek medical advice and, when listed for surgery, often wait many months for elective repair. We audited our emergency admissions for complicated groin herniae to establish whether a change in policy for elective surgery could lower their incidence. We performed a retrospective review of all admissions for complicated groin herniae from 1 January 2000 to 31 December 2001. Besides outcome, we recorded patients' awareness of their diagnosis before admission and whether they had been listed for elective surgery. We identified 19 patients (16 men and three women) with an inguinal and 19 (four men and 15 women) with a femoral hernia. Sixteen (42%) knew of their hernia before admission (11 inguinal and five femoral), but only three had been awaiting surgical repair for 1, 7 and 26 weeks, respectively. The median (interquartile range) age was 70 (54-84) years in inguinal and 79 (64-88) years in femoral herniae. Surgery was performed in all but an 84-year-old man who died pre-operatively. Two patients with inguinal and 11 with femoral herniae required a laparotomy (p = 0.006). Bowel resection was necessary in one patient with an inguinal and 12 with femoral herniae (p = 0.001). Complications occurred in 12 cases (31%). Four patients, all with femoral herniae, died post-operatively, for an overall mortality of 13% (5/38). Morbidity and mortality for complicated groin hernia, particularly femoral, remain high. As most patients were elderly and unaware of their diagnosis, reducing waiting times for elective repair is unlikely to influence the incidence of complicated herniae. 相似文献
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背景:当前应用聚丙烯补片行腹股沟疝无张力修补已成为腹股沟疝修补的标准手段,但这些材料可能对患者生殖功能产生影响。目的:总结应用脱细胞真皮基质修补腹股沟疝的经验。方法:回顾性分析19例应用异体脱细胞真皮基质修补腹股沟疝患者的临床资料,男15例,女4例,年龄5~38岁。术后观察切口愈合情况,并定期随访。结果与结论:19例患者伤口均Ⅰ期愈合,无切口感染、皮下积液等并发症。18例患者获得随访,随访3~30个月,无局部疼痛、牵拉等不适感,无复发病例。提示脱细胞真皮基质材料为未成年人、尚未婚育及有生育要求的男性腹股沟疝患者的治疗提供一种新的选择。 相似文献
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目的探讨无张力疝修补术在治疗腹股沟复发疝中的作用。方法回顾性分析2002年10月至2006年10月收治的腹股沟复发疝32例的手术经验,术中采用网塞补片装置(mesh plug-patch)行无张力疝修补。结果本组患者全部治愈,术后出现3例阴囊血肿。随访1~48个月未见复发病例。结论无张力疝修补术治疗腹股沟复发疝,安全、简单、有效。 相似文献
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Laparoscopic repair of inguinal hernia in a patient with a ventriculoperitoneal shunt: A case report
Yui Ishiguro Takahisa Ishikawa Takumi Hamada Naoki Okada Takahito Nakagawa Seiji Kobayashi Kazuhiro Ogasawara Hiromasa Takahashi Akinobu Taketomi 《Asian journal of endoscopic surgery》2021,14(2):282-285
Laparoscopic surgery in patients with a ventriculoperitoneal (VP) shunt is reportedly associated with increased intracranial pressure secondary to high intraperitoneal pressure and retrograde infection due to intraperitoneal infection. We herein report the first case of transabdominal preperitoneal (TAPP) inguinal hernia repair without catheter manipulation for a patient with a VP shunt. A 69-year-old man with a VP shunt was suspected to have an inguinal hernia based on symptoms and examination findings. With a pneumoperitoneum pressure of 10 mm Hg, the VP shunt was not clamped and mesh was placed while confirming cerebrospinal fluid outflow from the tip of the catheter. The patient developed no shunt-associated complications and was discharged 3 days postoperatively. TAPP inguinal hernia repair without catheter manipulation is a potential surgical option for patients with a VP shunt. 相似文献
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腹腔镜下联合手术72例临床分析 总被引:1,自引:1,他引:0
目的 探讨腹腔镜下联合手术的优越性和临床应用价值。方法 回顾性分析我院2003年1月至2006年1月间进行的72例腹腔镜下联合手术的临床资料,其中胆囊切除术联合阑尾切除术25例;胆囊切除术联合肝囊肿开窗术11例;胆囊切除术联合腹股沟疝修补术5例;胆囊切除术联合右半结肠切除术1例;胆囊切除术联合小肠破裂修补术1例;胆囊切除术联合子宫全切除术3例;胆囊切除术联合卵巢囊肿、良性畸胎瘤10例;胆囊切除术联合肾囊肿开窗术10例;肝囊肿开窗术联合肾囊肿开窗术3例;肾囊肿开窗术联合阑尾切除术3例。结果 72例腹部联合手术均顺利完成,2例胆囊切除术联合腹股沟疝修补术术后出现阴囊血肿,其余均无严重井发症,恢复顺利,疗效满意。结论 腹腔镜下联合手术是安全的、有效的和经济的,值得临床推广普及。 相似文献