应用巴德3DMax补片行无钉合腹腔镜完全腹膜外疝修补术

目的 总结应用巴德3DMax补片行无钉合腹腔镜完全腹膜外疝修补术(TEP)治疗腹股海疝的经验技巧和体会.方法 回顾性分析2006年8月至2007年12月共38例腹股沟疝患者的临床资料,患者全部在全身麻醉下行腹腔镜TEP,术中应用巴德3DMax补片,且不需钉合固定.结果 38例患者共进行42侧TEP,手术时间25～90 min,平均手术时间单侧(35±13)min,双侧(58±22)rain.术后无需使用镇痛剂.术后住院时间1～4d,平均(2.5±1.5)d.术后并发阴囊血清肿2例,无术后腹股沟区慢性疼痛及异物不适感病例.随访6～22个月,平均(13.0±5.5)个月,无术后复发病例.结论 应用巴德3DMax补片行无钉合腹腔镜TEP,安全可靠,操作简单方便,可使手术时间缩短,减少手术并发症,并有术后疼痛轻、恢复快、复发率低的优点.

Using Bard 3DMax mesh without fixation in laparoscopic total extraperitoneal inguinal hernioplasty

Objective To summarize local experience and skills of using Bard 3DMax mesh with-out fixation in lapamscopic total extraperitoneal inguinal hemioplasty(TEP) to treat patients with inguinal hernia.Methed From August 2006 to December 2007,38 patients suffered in inguinal hernia underwent TEP under general anesthesia,with using Bard 3DMax mesh without ixation.Results Thirty-eight cases had been performed 42 sides TEP.The operating time was 25 to 90 min.The mean operating duration was (35±13) min for unilateral hernia and (58±22) min for bilateral ones.The patients did not need analgesics after operation.The patients stayed time after operation was 1-4 days with the mean of (2.5±1.5) days.Hematnrrms occurred in 2 cases.There was no chronic inguinal pain,foreign body sensation cases and no recurrence after (13.0±5.5) months follow-up.Conclusions Using Bard 3DMax mesh without fixation in lapamscopic TEP can be performed safely and reliably.It also helps to shorten the operating time and reduces the complication rates of the operation.The procedure has advantages of faster postoperative recover,less pain,lower complications and recurrence rate.