腹膜前间隙无张力修补马鞍疝的体会

Experience of Transabdominal Preperitoneal Space Tension-Free Repair for Inguinal Saddle Hernia

目的探讨腹膜前间隙无张力疝修补术在马鞍疝中的应用。方法用美国强生公司生产的普理灵疝装置作为疝修补材料,在局麻下行151例马鞍疝腹膜前间隙无张力疝修补术,回顾性分析手术时间、术后切口疼痛、住院时间、并发症及复发率。结果平均手术时间为(29.8±9.6)min,术后腹股沟区疼痛1例、阴囊水肿4例,无切口感染,无围手术期死亡。患者均于术后3～5d痊愈出院,平均住院时间为(3.0±0.8)d,其中145例术后随访1～5年,平均(2.2±0.8)年,无术后复发。结论腹膜前间隙无张力疝修补术治疗马鞍疝是安全可靠的。

Objective To summary the experience of transabdominal preperitoneal space tension-free repair for inguinal saddle hernia. Methods The clinical data of 151 cases of inguinal saddle hernias underwent transabdominal preperitoneal space tension-free repair with Prolene hernia system （PHS） were retrospectively analyzed. The operative time, postoperative pain, hospital stay, recurrence and postoperative complications were observed. Results The average operative time in unilateral hernias was （29.8±9.6） min. Postoperative complications included one case of pain in groin and 4 cases of scrotum edema. No incision infection and mortality occurred. Postoperative duration of hospital stay was 3 to 5 days. All cases were followed up for 1-5 years and no recurrence happened. Conclusion Transabdominal preperitoneal space tension-flee repair for inguinal saddle hernia by PHS is safe and reliable.