生物补片在青少年腹股沟疝经腹腹膜前修补术中的应用

The application of biological patch in TAPP repair of adolescent inguinal hernia

目的探讨生物补片在青少年腹股沟疝腹腔镜经腹腹膜前疝修补术(TAPP)中的应用效果。方法回顾性分析天津市人民医院2019年2-11月收治的8例青少年腹股沟疝患者的临床资料,对8例青少年单侧腹股沟疝患者在内环缝合基础上使用Surgisis补片行TAPP治疗,观察患者术后1 d、7 d、4周、6个月、12个月发热、疼痛、血清肿、感染、复发等指标。结果8例患者均手术顺利,手术时间30~50 min,术后24 h出院7例,48 h出院1例。8例患者术后均获得随访(1年),随访期间,无复发、慢性疼痛、感染、异物感、血清肿发生。结论生物补片应用于内环缝合基础上的TAPP术中,治疗青少年腹股沟疝安全有效,复发率和并发症发生率较低。

Objective To explore the effects of biologic patch in laparoscopic trans-abdominal preperitoneal hernia repair(TAPP)of adolescent inguinal hernia.Methods The clinical data of 8 adolescent inguinal hernia patients admitted to Union Medicine Center in Tianjin from February to November 2019 were retrospectively analyzed.8 adolescent patients with unilateral inguinal hernia were treated with TAPP on the basis of the inner ring suture using Surgisis patch.The indexes of fever,pain,seroma,infection and recurrence were observed 1 d,7 d,4 w,6 m,and 12 m after surgery.Results The operations were successful in 8 patients.The operation time was 30~50 min.7 patients were discharged from hospital 24 hours after operation,and 1 patient was discharged 48 hours after operation.All the 8 patients received follow-up after surgery(1 year).During the follow-up period,there was no case of recurrence,chronic pain,infection,foreign body sensation,or seroma.Conclusion The biological patch is safe and effective for TAPP on the basis of the inner ring suture in the treatment of adolescent inguinal hernia,and has low recurrence rate and complication rate.