摘要
目的:探讨腹腔镜成人腹股沟疝修补术的手术方法和应用价值。方法:回顾分析行腹腔镜腹股沟疝修补术32例患者的临床资料,其中斜疝27例,直疝4例,复合疝1例。行腹膜前补片修补术(transabdominal preperitoneal prosthesis,TAPP)19例,行腹腔内补片植入术(intraperitoneal onlay mesh,IPOM)12例,行完全腹膜外补片植入术(total extraperirtoneal pros-thesis,TEP)1例。结果:32例手术均获成功,无中转开腹,手术时间35~90min,平均55min,术后3~5d出院,随访1~29个月无一例复发。结论:腹腔镜腹股沟疝修补术安全可行,具有并发症少、术后患者疼痛轻、康复快、复发率低等优点,并可同时发现复合疝和隐性疝。
Objective:To evalvate the effect of laparoscopic inguinal herniorrhaphy.Methods:Clinical data of 32 cases of laparoscopic herniorrhaphy for inguinal hernia was analyzed retrospectively.There were 27 cases of indirect inguinal hernia and 4 cases of direct hernia and 1 case of compound hernia.Transabdominal preperitoneal prosthetic(TAPP)was performed in 19 cases,intraperitoneal onlay mesh(IPOM)was performed in 12 cases,total extraperitoneal prosthesic(TEP)was performed in 1 case.Results:All cases were performed successfully.The operation time was 35-90min(mean 55min).The average hospitalization was 3-5d.During the follow-up of 1 to 29 months of the 32 patients no recurrence occured.Conclusions:Laprascopic herniorrhaphy is safe and effective for inguinal hernia with advantages of lower complication rate,quicker recovery and lower recurrence.
出处
《腹腔镜外科杂志》
2007年第4期289-290,共2页
Journal of Laparoscopic Surgery
关键词
腹腔镜术
疝
腹股沟
疝修补术
Laparoscopy
Hernia,inguinal
Herniorrhaphy