平片式修补术无张力疝修补术治疗腹股沟复发疝65例体会

A Clinical experiences of lichtenstein tension-free hernioptasty in 65 cases with recurrenced inguinal hernia

目的探讨Lichtenstein无张力疝修补术对腹股沟复发疝的疗效和优点。方法采用人工疝补片对65例82侧腹股沟复发疝行Lichtenstein无张力修补术的手术要点及临床效果进行回顾性分析。结果本组单侧疝手术时间为45～110 min,平均75 min。无切口感染、硬结、疼痛、异物反应等并发症;术后并发短暂尿潴留3例;阴囊血肿1例、积液3例4侧。术后5～8 d(平均6.5 d)出院。随访6～96个月,再复发1例。结论Lichtenstein无张力疝修补术是一种简单、安全、痛苦小、恢复快、效果好的疝修补法,适用于大多数成人复发腹股沟疝。

Objective To find out the advantages and effects of Lichtenstein tension-free hernioplasty with artificial mesh. Methods We repaired 65 cases and 82 sides of recurrenced inguinal hernia by Lichtenstein tension-free hernioplasty with artificial mesh. Results The operating time for one side hernia expended 45 - 110 minutes （ m = 75 mins） . The time of discharged from the hospital was 5 - 8 d （ m = 6.5 d）. No complications such as incision infection, hard mass and stubbornly pain postoperatively, but 3cases with uroschesis, 1 case of hematoma of scrotum and scrotal hydrops in 3 cases with 4 sides of hernias were found in this series. Follow-up for 6 -96 months, 1 case recurrenced again after 13 months postoperatively in this series. Conclusion The artificial mesh Lichtenstein tension-free hernioplasty is safe, simple, effective, and cheap hernia repairing method, and it is easy to recover with few of suffering postoperatively, and it is especially suitable for relapsed and old aged inguinal hernia.