超普疝装置无张力疝修补术治疗腹股沟嵌顿绞窄性疝27例体会

目的：探讨应用超普疝装置（UHS）治疗腹股沟嵌顿绞窄性疝的临床应用价值。方法：2007年1月至2009年10月，我科收治腹股沟嵌顿绞窄性疝27例，采用UHS进行一期无张力修补，对其临床资料进行回顾分析。结果：27例手术全部成功完成，手术时间（60．5±17．3）min。术后1例切口感染，3例皮下脂肪液化，均经引流治疗而痊愈。住院时间4-9d，平均6．5d，全部治愈出院。术后27例获随访，随访时间2-4a，无一例复发。结论：应用超普疝装置（UHS）对腹股沟嵌顿绞窄性疝行一期修补是安全和有效的，该术式具有术后疼痛轻、恢复快、住院时间短、并发症少和复发率低的优点。

Ul-trapro Hernia System(UHS)Tension-free Hernia Repair in Treatment of 27 Cases of Incarcerated Inguinal Hernia

Objective：To discuss the value of ul -trapro hernia system（UHS） tension -free hernia re- pair in the treatment of incarcerated inguinal hernia. Methods：A retrospective analysis on the clinical data of 27 cases with incarcerated inguinal hernia treated by UHS tension -free hernia repair in our department from January 2007 to September 2009. Results：All cases were operated successfully. The operation time was （60 ± 17.3 ） mins. There was one case of infection wound, three cases of the layer of subcutaneous fat necrosis. All cases were recuperated after the wound were drained. The hospitalization time was 4 - 9 d, The average hospital stay was 6.5 d, All cases were cured and left hospital. All cases were followed up. The follow up period ranged from 2 to 4 years and no recurrence was observed. Conclusions ： UHS tension - free hernia repair in treatment of incarcerated inguinal hernia is safe and effective because of its advantages, such as lower pain, time in hospital , complications, recurrence and rapid recovery.