疝环充填式无张力疝修补术在成人腹股沟疝的临床应用

目的　评价疝环充填式无张力疝修补术治疗腹股沟疝的临床价值。方法　应用聚丙烯网塞及网状补片治疗腹股沟疝 14 4例 ,对手术时间、手术方法、术式的优点、并发症及术中注意事项进行回顾性总结。结果　全组均痊愈 ,手术时间平均 43 .5min ,术后疼痛轻微 ,平均 6h后即可下床活动 ,无感染病例 ,主要并发症为 6例尿潴留和 5例阴囊积液。 63例出现术后低热。随访无复发病例。结论　该方法操作简便 ,符合腹股沟区生理解剖特点 ,术后疼痛轻 ,患者恢复快 ,复发率低 ,是治疗腹股沟疝的理想方法

Clinical application of mesh-plug tension-free hernioplasty in the inguinal hernia

Objective To evaluate the clinical value of mesh-plug hernia repair in treating inguinal hernia.Methods 144 cases of inguinal hernia were treated by using mesh-plug hernia repair from Aug.2001 to Oct.2003,and the operative procedure,postoperative pain,complications and recurrence rate were retrospectively summarized.Results All the cases were cured.The average operating time was 43.5 min.Postoperative pain was mild.All cases left the bed 6 h after operation.No infection of the incision occurred.Main postoperative complications included urinary retention (6 cases) and scrotal hydroceles (5 cases).Postoperative low fever occurred in 63 cases.During a follow-up,no recurrence occurred.Conclusion The operation of mesh-plug hernia repair is very simple and convenient with low relapse rate.This technique is the ideal method to treat inguinal hernia.