腹股沟疝无张力修补术后复发的外科治疗

目的探讨无张力疝修补术后复发性腹股沟疝的外科手术治疗方法。方法67例复发性腹股沟疝中，使用人工材料行无张力疝修补手术后复发者有13例（19．4％），均再次手术治疗，采用Kugel补片1例、PHS补片修补3例和疝环充填式无张力修补9例。结果术后发生伤口积液1例，阴囊水肿1例，无切口感染，术后随防3～63个月，未见复发。结论无张力疝修补术后亦难免复发，再手术时宜根据术中所见选用不同的疝修补方式，但网塞疝环充填法仍然是一种简单、有效的治疗方法。

Surgical Managements of Recurrent Inguinal Hernias after Tension-free Repair

Objective To evaluate the surgical experiences of recurrent inguinal hernia after previous tension-free repair. Methods In 67 patients underwent surgery for recurrent inguinal hernia between March 2000 and December 2007,13 patients(19.4%) of which were treated previously by tension-free repair. The re-operation procedures included 1 of Kugel patch,3 of Prolene Hernia System,and 9 of Mesh and Plug. Results Seroma was observed in one patient and scrotum edema in one patient as well. There was no wound infecti...