无张力疝修补术治疗腹股沟嵌顿疝45例体会

Tension-free herniorrhaphy in treatment of incarcerated inguinal hernia:a report of 45 cases

目的探讨无张力疝修补术治疗成人腹股沟嵌顿疝的临床效果。方法回顾性分析无张力疝修补术治疗4 5例腹股沟嵌顿疝患者(包括平片式修补Lichtenstein术1 2例、疝环充填式Rutkow术3 1例及经腹股沟切口Kugel腹股沟疝修补术2例)的临床资料。结果4 5例手术过程均顺利。无切口感染和排异反应,无术后死亡。所有患者术后3个月获得门诊随访,未见复发。结论无张力疝修补术在治疗成人腹股沟嵌顿疝有良好效果。

Objective To evaluate the clinical effects of tension-free herniorrhaphy in treatment of incarcerated inguinal hernia （IIH） in adults. Methods A retrospective study was made on analysing the clinical data of 12 cases of IIH treated by Lichtenstein hernioplasty, 31 cases of IIH by mesh-plug hernia repair and 2 cases by Kugal herniorrhaphy. Results There was no infection of incisional wound, rejection of foreign materials, and no operative mortality. All the patients were followed-up for three months, no hernia recurrence was observed. Conclusions Tension-free herniorrhaphy in treatment of incarcerated inguinal hernia in adults is a effective method with very satisfactory results.