预裁剪聚丙烯平片行前入路腹膜前无张力疝修补术63例体会

Clinical application of the polypropylene mesh in preperitoneal tension-free hernia repair via open anterior approach:a report of 63 cases

目的探讨预裁剪聚丙烯平片行前入路腹膜前无张力疝修补术的临床应用效果。方法分析我院于2007年3月至2008年5月应用预裁剪聚丙烯平片对63例腹股沟疝患者行前入路腹膜前无张力疝修补术的效果。结果手术时间40～100min,平均52min。术后切口疼痛轻,所有患者术后2～6h均能下床活动。术后阴囊积液1例。术后无感染。术后住院时间2～6d,平均3.4d。随访3～16个月,无1例术后复发、无异物感。补片价格远低于Kugel等开放式腹膜前疝修补定型补片。结论应用预裁剪聚丙烯平片行前入路腹膜前无张力疝修补术是全腹股沟区修补,适合修复各型腹股沟疝。由于操作简便、安全和经济等特点,易于推广。

Objective To evaluate clinical application of polypropylene mesh in preperitoneal tension-free hernia repair via open anterior approach. Methods The clinical data of 63 patients with inguinal hernia performed preperitoneal tension-free hernia repair via open anterior approach with the polypropylene mesh between March 2007 and May 2008 in the Department of General Surgery, Shanghai Nanhui Central Hospital were analyzed. Results The average operating time was 40 to 100 minutes. The meanoperatingdura-tionwas52minutes. Postoperativepain was minimal. All patientstook activity away from bed 2 to 6 hourspostop- eration. Scrotal hydrocele appeared in 1 case. No wound infection appeared. The average hospital stay was 2 to 6 days. After 3 to 16 months of follow-up,it had found no recurrence and foreign body feeling. The polypropylene mesh is cheaper than Kugel patch. Conclusions The polypropylene mesh in preperitoneal tensionfree hernia repair via open anterior approach is a total inguinal repair and feasible for all types of inguinal hernia reparation. It has characteristics of simple, security and inexpensive, and popularizing the method is an easy job.