脱细胞真皮基质修补腹股沟疝

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。

Inguinal hernia repair using human acellular dermal matrix

BACKGROUND:Tension-free repair using polypropylene mesh is the standard technique for inguinal hernia repair at the present, but the prosthetic material maybe has harmful impact on the patient reproductive functions.  OBJECTIVE:To summarize the experience and evaluate the clinical effect of human acellular dermal matrix in inguinal hernia repair. METHODS:Nineteen patients aged 5-38 years with inguinal hernia underwent hernia repair using human acelluar demall matrix. Of the patients, there were 15 male and 4 female. The wound healing was observed and regular follow-up was conducted. RESULTS AND CONCLUSION: Of the 19 patients, all patients recovered with primary wound healing without infection of incisional wound or seroma. Eighteen patients were followed up. During a follow-up of 3-30 months, no chronic pain or discomfort at the incisional area or hernia recurrence occurred. It is feasible and safe to use human acellular dermal matrix patch in inguinal hernia repair, especially in young people or man with inguinal hernia willing to procreate.