无张力修补术治疗老年性腹股沟复发疝的临床探讨

Study on tension-free repair for recurrent inguinal hernia in aged patients

目的探讨老年人腹股沟疝复发的原因及再手术方式。方法对我院37例70岁以上老年人腹股沟复发疝进行回顾性总结分析,探讨其复发原因、手术方式的选择及术后疗效。结果本组37例患者斜疝复发26例,直疝复发10例,股疝复发1例。手术时间50~112 min,平均65 min。全组无切口感染,无阴囊血肿及心肺脑并发症,随访4~60个月无复发。结论无张力疝修补术是治疗老年人腹股沟复发疝的理想术式,术后恢复快,并发症少,再复发率低。

Objective To discuss the operation ways and recurrent causes of inguinal hernia in aged patients. Methods Clinical data of 37 cases （ aged over 70 years） of inguinal recurrent hernia were retrospectively studied and analyzed for causes of recurrence, operation ways and cura- tive effect of the operation. Results All 37 cases include 26 cases of recurrent indirect hernia, 10 cases of recurrent direct hernia and 1 cases of recurrent femoral hernia. All cases were successfully operated without incisional infection and scrotal hcmatoma and there was no cardiac, pulmonary and cerebral complications happened. The operation time was from 50 to 112 minutes with a mean time of 65 minutes. The follow - up period ranged from 4 to 60 months and no recurrence was observed. Co^aclusion Tension - free hernia repalz＂ is a perfect surgical operation for recurrent inguinal hernia in aged patients. It has many advantages such as rapid recovery, less complications and lower recurrent rate, but the operation ways should be individualized.