无张力疝修补老年性腹股沟44例临床分析

目的 探讨利用高分子材料无张力修补老年性腹股沟疝的疗效。方法 选择60岁以上腹股沟疝患者44例先行疝囊颈结扎,然后采用Bard公司网状补片修补,伞状网塞固定于疝囊颈结扎处 ,成型片状补片平铺于精索后缝合固定于耻骨结节、联合腱、内环、腹股沟韧带。结果 修补腹股沟斜疝40例,直疝4例。男 41例,女3例,合并肝硬化腹水1例,一侧复发6次再次手术1例。全组均治愈,平均住院日7 天,平均术后12天拆线,术后随访1年,复发1例,旷置远端疝囊积液2例。结论应用Bard公司网状补片无张力修补老年腹股沟疝疗效肯定,手术时间短,操作简化,复发率低 ,适应症较广,基层值得推广应用。

Tension-free inguinal hernia repair in 44 cases of senile

Objective Explore the use of polymer materials, tension-free inguinal hernia repair the efficacy of age. Methods Select more than 60 years of age in 44 patients with inguinal hernia neck first hernia sac ligation, Then mesh patch Bard Inc, Umbrella mesh plug fixed on the neck hernia sac ligation Department, Tile Sheet Forming patch sutured after the spermatic cord in the pubic tubercle, joint tendon, the inner ring, inguinal ligament. Results 40 cases of indirect inguinal hernia repair, 4 cases of direct hernia, 41 male, 3 females, 1 case of cirrhosis with ascites, Side of the recurrence of one case of reoperation 6. The whole group were cured, The average length of stay 7 days, An average of 12 days after stitches, Were followed up for 1 year, 1 relapse, . Exclusion distal hernia sac effusion in 2 cases. Conclusion Bard mesh patch application company tension-free inguinal hernia repair is effective and elderly, Short operation time, Simplified operation, Recurrence rate,Broader indications, Grass-roots level should be widely applied.