局麻下吉尔伯特手术治疗老年人腹股沟疝的临床分析

Clinical analysis of Gilbert tension-free hernioplasty in the elderly patient under local anesthesia

目的总结局麻下吉尔伯特手术治疗老年人腹股沟疝的临床应用经验。方法回顾性分析2003年4月至2004年4月在局麻下行吉尔伯特手术治疗的76例老年人腹股沟疝的临床资料,观察手术时间、术后并发症、住院天数及复发率。结果本组76例全部治愈。手术平均时间257min。术后2～5h即可下床活动。术后切口疼痛8例,切口异物感4例,发生阴囊积液3例。住院平均时间23d。术后随访1～12个月,未见疝复发及切口感染。结论局麻下吉尔伯特疝修补术是一种对人体生理功能干扰小、术后恢复块、并发症少的理想术式,尤其适合于治疗老年人腹股沟疝。

Objective To summarize the clinical experience of Gilbert tension-free hernioplasty in the elderly patient under local anesthesia. Methods Seventy-six elderly hernia patients operated by Gilbert tension-free hernioplasty under local anesthesia were analyzed in operating time, postoperative complications, hospitalization days and recurrence rate, etc. Results Patients with abdominal hernia were all cured. The average operation time was 25.7 minutes and the time staying in bed after operation was 2-5 hours. The complications of incision pain, foreign body sensation and scrotum hydroceles after operation were observed in 8, 4 and 3 patients respectively. The average hospitalization period was 2.3 days. All patients were followed-up for 1-12 months and no recurrence and infection were observed. Conclusions Gilbert tension-free hernioplasty under local anesthesia is an ideal operation to treat abdominal hernia for elderly patients with less interference to physiological function, quick recovery and less complications.