疝环填充式无张力疝修补术21例报告

Tension-free mesh plug hernioplasty for inguinal hernia:Report of 21 cases

目的：探讨．疝环填充式无张力．疝修补术的临床效果。方法：对21例腹股沟疝行疝环填充式无张力疝修补术的手术方法和术后随访结果进行总结分析。结果：21例手术均顺利，1例出现切口渗出，予引流、换药，5天后愈合，无切口及深部感染，随访20例，3～22个月，平均13个月，无疝复发，无腹股沟区疼痛及睾丸萎缩。结论：疝环填充式无张力疝修补术安全、可行，手术简单，复发率低，恢复快，并发症少，较传统的术式有明显的优势。

Objective To summarize the therapeutic efficacy of Tension-free mesh plug hernioplasty for inguinal hernia. Methods A retrospective analysis based on the operation methods and follow-up documents was performed in 21 cases of inguinal hernia who accepted Tension-free mesh plug hernioplasty. Results The hemioplasty was successfully completed in 21 cases ,lcase was percolated liquid in the incisional and cured by drainaged and changed fresh dressing for the incisional in the five days later, there was no infection in the incisional sue. 20 cases were followed-up for 3-22 months （mean 13 months） revealed no recurrence,pain in in and deeply tisguinal or testicular atrophy. Conclusion Tension-free mesh plug hernioplasty is safe and feasible for inguinal hernia,with advantages of simplicity of performance,low recurrence ,quick recovery and few complication compare with the traditional hernioplasty.