无张力疝修补术在滑疝修复中的应用

Application of tension-free hernioplasty in sliding hernia

目的评价无张力疝修补术在滑疝治疗中的疗效,探讨适应症,解剖学基础及术中应注意的问题。方法回顾性分析我院2002年1月至2004年12月采用疝环充填式网塞和普里灵疝装置(PHS)行无张力疝修补术治疗滑疝8例。结果除1例术后有轻度皮下积血外,其余7例无术后并发症发生,均在术后7～10天出院。随访8～20个月,无1例术后复发。结论疝环充填式网塞和普里灵疝装置(PHS)无张力疝修补术均能较好地修补腹股沟滑疝;应根据患者的具体情况选择个体化修补方案,方可提高手术效果。

Objective To evaluate the therapeutic effect of tension-free hernioplasty on sliding hernia and go further into the applied indication, anatomic basis and some points for attention during the operation. Methods From January 2002 to December 2004, eight cases with sliding hernia received Mesh Plug ＆ patch or polypropylene prolene hernia system （PPHS）in tension-free hernioplasty were analyzed retrospectively. Results Excepting for 1 case had postoperative slight subcutaneous hematoma and no postoperative complication were found in other 7 cases. All patients were discharged from hospital at the seventh or tenth day after operation. Postoperative follow-up time was from 8 to 20 months and no recurrence was found. Conclusions Both PPHS and Mesh Plug ＆ patch in tension-free inguinal hernia repair are ideal materials for sliding hernia. According to the patients concrete condition to select individualized operative project, it can improve the surgical therapeutic effects.