聚丙烯补片微创修补腹股沟疝

Tension-free herniorrhaphy using Kugel patch in groin hernia

目的 总结聚丙烯补片（Kugel补片）行腹股沟疝修补术的近期临床效果。方法 采用Kugel补片对58例62侧腹股沟疝患者行无张力疝修补术。结果 每侧手术时间25min，术后平均15h下床活动，术后5d恢复正常日常活动。无一例伤口感染、阴囊血肿、阴囊积液。术后随访1～36个月，元复发，无髂腹股沟神经综合征。结论 Kugel补片微创腹股沟疝修补术具有创伤小、患者恢复正常活动早等特点，同时其学习曲线为10例，容易掌握。

Objective To review the clinical experiences of Kugel herniorrhaphy. Methods Fifty-eight patients with sixty-two groin hernia were performed with Kugel parch. Results Mean operating Time was 25min. The patients could walk in fifty hours and work in five days after operation, respectively. No recurrence or discomfort was found during a fellow-up of 1～36 months. Conclusions Kugel herniorrhaphy is a minimally invasive,tension-free, almost sutureless,and total inguinal repair.The leaning curve is about 10 Kugel herniorrhaphy.