疝环充填式无张力腹股沟疝修补术162例体会

目的探讨疝环充填式无张力修补术治疗腹股沟疝的临床效果。方法分析2003年8月至2009年5月行疝环充填式无张力修补术治疗的162例腹股沟疝,观察手术时间、术后并发症、恢复情况和复发率等。结果本组手术时间平均45min,95%以上的患者术后8～12h即下床活动,术后平均住院时间4d。术后并发尿潴留6例,阴囊水肿5例,切口渗血1例,经对症处理后痊愈,无1例发生切口感染,也无明显异物感,随访2～3年,全组无复发病例。结论疝环充填式无张力修补术具有操作简单、患者恢复快、复发率低等优点,是治疗腹股沟疝的有效方式。

The clinical application of Mesh Plug tension-free inguinal hernia repair

Objective To evaluate the clinical effect of the Mesh Plug tension-free inguinal hernioplasty. Methods To analyze 162 cases of inguinal hernia treated by Mesh Plug tension-free hernia repair. the operation time,postoperative complications,post-operation recovery and recurrence rate were observed. Results The average operation time was 45 min,over 95% patients began to get out of bed in 8 to 12 hours after operation. the average hospital stay after operation was 4 days. The postoperative complications included urinary retention in 6 cases,scrotal hydrocele in 5 cases,incisional exudation in 1 case. All complications were cured after appropriate treatment. No one case appearred postoperative infection,no recurrence and foreign body sensation were found in the followed-up time from 2 to 3 years. Conclusions Mesh Plug tension-free hernioplasty is an effective surgical operation for inguinal hernia with simple procedure,quick recovery,low recurrence rate.