无张力疝修补术在治疗成人脐疝中的应用

目的:探讨无张力疝修补术在治疗成人脐疝中的临床应用价值。方法:应用无张力疝修补术治疗成人脐疝45例，其中应用网塞补片29例，三合一双层补片16例。观察手术时间、伤口疼痛、术后自主功能的恢复、并发症及复发率。 结果:手术全部成功。平均手术时间60min。4例术后出现皮下积液。随访6～48个月未见复发病例。结论:无张力疝修补术是治疗成人脐疝较好的术式，具有手术安全、术后恢复快、近期疗效满意和复发率低等优点。

Application of tension-free hernia repair for umbilical hernia in adults

Abstract:Objective:To discuss the value of tension-free hernia repair for umbilical hernia in adults.Methods:Fourty-five adult patients with umbilical hernia were treated with tension-free hernia repair，including mesh plug-patch in 29 cases and prolene hernia system in 16 cases. The operative procedure, postoperative pain, patient′s ability recovery time, and complication and recurrence rate were studied.Results:All cases were operated successfully. The mean operation time was 60 min. The only postoperative complications were 4 cases of subcutaneous seroma. The follow-up period ranged from 6 to 48 months and no recurrence was observed.Conclusions:Tension-free hernia repair is a better surgical operation for umbilical hernia in adults, and it has many advantages, such as safety, rapid recovery, good early therapeutic effect and lower recurrence rate.