疝环充填式无张力疝修补术治疗腹股沟疝132例临床体会

Clinical experience of 132 cases of groin hernia with mesh and plug hernia repair

目的探讨疝环充填式无张力疝修补术的手术方法和近期疗效。方法对132例139侧次腹股沟患者实施的疝环充填式无张力疝修补术进行回顾性分析。结果本组无手术死亡病例,手术时间平均为44.7min,术后疼痛轻微,未用麻醉镇痛药物,术后下床活动时间8～24h。近期并发阴囊水肿3例,尿潴留4例,无切口感染、血肿等。随访123例,随访时间2～58个月,无复发,有8例出现局部慢性疼痛。结论疝环充填式无张力疝修补术具有操作简单、适应证宽、术后恢复快、痉痛轻和复发率底等优点,远期疗效有待随访证实。

[Objective] To summarize the recent therapeutic effects and operating method of the mesh and plug tension-free hernia repair. [Methods] 132 eases in 139 groin hernia patients were performed with the mesh and plug tension-free hernia repair were analysed retrospeetively. [Results] All of the patients were performed smoothly and there was no death. The average operation time was 44.7 min. No one aeeepted drugs for postoperative pain, only 3 serotal edema, 4 urine retention, and no wound infection and hematoma. One hundred twenty-three patients were followed up from 2-58 months. No reeurrenee was observed, only 8 eases had regional ehronie pain. [Conclusions] The mesh and plug tension-free hernia repair is easy to be administered, with minor lesion, quiekly reeovery, lower reeurrenee, more wider to be used and so on. Permanent effects need to be furthely proved with follow-up.