免气囊分离无钉合完全腹膜外腔镜腹股沟疝修补术41例分析 |
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引用本文: | 翁山耕,刘赵琪,林春忠,刘国忠,石铮. 免气囊分离无钉合完全腹膜外腔镜腹股沟疝修补术41例分析[J]. 中国实用外科杂志, 2009, 29(2): 162-163 |
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作者姓名: | 翁山耕 刘赵琪 林春忠 刘国忠 石铮 |
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作者单位: | 福建医科大学附属第一医院微创外科,福建福州350005 |
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摘 要: | 目的 探讨免气囊分离无钉合完全腹膜外腔镜腹股沟疝修补术(TEP)的效果。方法 2006年8月至2008年8月福建医科大学附属第一医院微创外科对41例腹股沟疝病人行TEP。用镜头替代气囊分离器分离腹膜前间隙,用巴德3D补片无钉合固定。 结果 41例均在腔镜下顺利完成手术。手术时间 28~120 min, 平均(46±23.6)min, 发生腹股沟区血清肿3例,未发生其他并发症。随访3 ~24个月,无腹股沟疝复发。结论 免气囊分离无钉合TEP手术经济、安全可行, 具有创伤小、恢复快、疗效可靠、并发症少等优点。
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关 键 词: | 腔镜 腹股沟疝 完全腹膜外 疝修补术 补片 |
Totally extraperitoneal endoscopic inguinal hernia repair using an unfixed mesh without a dissection balloon : a report of 41 cases |
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Abstract: | Totally extraperitoneal endoscopic inguinal hernia repair using an unfixed mesh without a dissection balloon : a report of 41 cases WENG Shan-geng , LIU Zhao-qi , LIN Chun-zhong ,et al. Department of Minimally invasive surgery , the First Affiliated Hospital of Fujian Medical University, Fuzhou 350000, China Corrsponding author:WENG Shan-geng , E-mail:shangeng@sina.com Abstract Objective To investigate the effect and the feasibility of totally extraperitoneal (TEP) endoscopic inguinal hernia repair using an unfixed mesh without a dissection balloon. Methods A total of 41 cases of reducible inguinal hernia underwent TEP dissected with the endoscope instead of a dissection balloon using a BARD 3D mesh without fixation from August 2006 to August 2008. Results The operation was successfully accomplished under the endoscopy in all the 41 cases. The operation time was 28-120 min ( 46±23.6 )min. After the operation, seroma occurred in 3 cases, and no other complications were found. The patients were followed up for 3-24 months, and no recurrence occurred. Conclusion It is feasible and safe to use an unfixed mesh in the TEP endoscopic inguinal hernia repair with few complications,soon recovery and confirmed efficacy without a dissection balloon. |
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Keywords: | endoscopy inguinal hernia totally extraperitoneal herniorrhaphy mesh |
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