腹股沟斜疝无张力修补术120例的术后并发症分析

Clinical analysis of complications in 120 cases treated with in plug-mesh tension-free repair of indirect inguinal hernia

目的探讨腹股沟斜疝充填式无张力修补术术后并发症发生的原因及防治方法。方法回顾性分析行腹股沟斜疝充填式无张力修补术120例患者的临床资料。结果术后切口内出血致阴囊血肿1例;感染1例;所有病例术后3-4天时均行切口处B超检查,发现皮下积液15例,但只有2例需要处理;3例切口处异物疼痛不适感,可以耐受,未予以特殊处理;无复发者。结论对于术后并发症,关键是预防,要严格手术操作规范;其次是要早发现,早处理。

Objective To investigate the prevention and treatment of complications in the plug-mesh tension-free repair of indirect inguinal hernia. Methods Clinical materials of 120 cases with indirect inguinal hernia who were treated with the plug-mesh tension-free repair were analyzed retrospectively. Results The postoperative complications included bleeding in the incision leading to scrotal hematoma （ 1 case） and infection （ 1 case）. Incision areas of all cases were examined by ultrasonography on the 3rd or 4th day after operation, and 15 cases were found subcutaneous hydrops in incisions, but only 2 cases needed treatment. 3 patients felt pain and had foreign body sensation but could endure, and no special process had been treated. No recurrence occurred. Conclusion The strict operation technique and correct therapeutic method are the key points to prevent the complication of tension-free hernia repair. And then, the early discovery and the early treatment of the complications of tension-free hernia repair are also important.