腹腔镜成人腹股沟疝修补术的临床应用

Clinical application of laparoscopic inguinal herniorrhaphy for adult patients

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.