PHS应用在腹股沟马鞍疝无张力修补术11例分析

The prolene hernia system in tension-free repair of inguinal saddle hernia: report of 11 cases

目的探讨PHS在腹股沟马鞍疝无张力修补术中的治疗效果和手术经验。方法对11例使用PHS行无张力修补术的腹股沟马鞍疝患者进行分析。结果在局麻下完成手术,手术时间25～60 min,全组留院观察24～72 h,无阴囊积液、切口感染、血肿及其它与手术有关的并发症。随访6个月～30个月,无复发,无异物感。结论 PHS修补牢靠,对于腹股沟马鞍疝的手术治疗更有针对性。重视手术的技巧是手术成功的关键。

Objective To assess the prolene hernia system ( PHS) in tension-free repair of inguinal saddle hernia. Methods Eleven cases using PHS were studied. Results All patients were underwent the operation under local anesthesia, and the operation lasted for 35 to 60 minutes . They were monitored in wards for 24 to 72 hours. No scrotal swelling, hematoma, and wound infection happened after the operation. Follow-up lasted for 6 to 30 months , and none of the patients relapsed or had a sensation of foreign body. Conclusion PHS is safe and effective in tension-free repair of hernia, and it is fit to repair of inguinal saddle hernia.