疝环充填式无张力疝修补术治疗腹股沟疝的应用体会(附52例报告)

目的评价应用疝环充填式无张力疝修补术治疗腹股沟疝的临床价值。方法自1999-06~2000-08,应用美国Bard公司产品(Bard mesh perbix plug)修补腹股沟疝共52例。结果全组均痊愈,平均住院6 d,手术时间平均42.6 min,术后3例(5.8%)使用止痛剂,30例(58%)6 h内下地,1例(1.9%)术后发生短暂的尿潴留,1例(1.9%)发生远端的疝囊积液,术后42例(78%)体温在38.0℃以下,无切口感染。随访48例2个月~1年,1例(2.1%)复发。结论本法具有操作简便、省时、复发率低、减轻患者术后疼痛,不增加感染的发生率,术后符合腹股沟管解剖生理要求等优点,是一种值得推广的手术方法,但应正确掌握手术适应证。

Application Experience of Groin Hernia Repair with Hernia Ring Filling Tensionless

Objective To assess the clinical value of groin hernia repair with tensionless hernia ring filling. Methods 52 cases of such patient were underwent this operation with Bard mesh perbix plug from June 1999 to August 2000. Resuits All patients healed with average hospitalized 6 d and average operative time 42.6min. 1 case had urine retention, 3 cases used analgesia, 1 had hernia cystic fluid after 2 months to 1 year follow - up. 1 case relapsed. Conclusion This method might be simple, easy, low relapse rate and less pain without infection. It might worth to generalize with proper indication.