疝环充填式无张力疝修补术在老年腹股沟疝中的应用

目的评价疝环充填式无张力疝修补术应用于老年腹股沟疝的临床效果。方法回顾性总结近5年收治的127例老年腹股沟疝患者的临床资料。结果均采用美国Bard公司生产的plugmesh定型产品行无张力疝修补术。全部病例治愈,平均手术时问40min,平均住院4.6d,随诊6~24个月,仅1例复发(复发率0.8%)。结论疝环充填式无张力疝修补术是一种完全符合生理解剖的手术。具有操作简便、创伤小、恢复快、复发率低及适应证宽等优点,适用于老年患者,尤其II型以上疝。

The application of mesh - plug tension - free hernia repair in elderly patients with inguinal hernia

Objective To evaluate the dincal therapeutic efficacy of mesh-plug tension-free hernia repair in elder patients with inguinal hernia.Methods The chnical data of 127 elder patnts with inguinal herina treated with mesh-plug tension-free hemia repair in our hospital were analyzed retrospectively.Results All cases were treated by tension-free hernia repair with mesh-plug case-hardened products which manufactured by American Bard Company. All fie patients were cured.Average operation time was 40 min,and average hospital stay was 4.6 d.The patients were followed up for 6-24 months,only 1 case had recurrence of hernia(recurrence rate 0.8%).Conclusions Mesh-plug tension-flee hernia repair is a perfectly sound physiologic and anatomic operation. It is a simple, minltraumatic procedure,with advantages of quick recovery,low ecurrence rate and wide indications. It is especially suitable to elder patients or patients with the type II or larger hernial.