普理灵疝修补装置在腹股沟复发疝治疗中的应用

Surgical treatment of inguinal hernia recurrence with prolene hernia system

目的 总结腹股沟复发疝应用普理灵疝修补装置（PHS）行无张力疝修补术的经验。方法使用强生公司的PHS对42例腹股沟复发疝行无张力修补术。结果手术时间40～150min，术后当日即可下床活动。无伤口感染，并发尿潴留4例，巨大阴囊血肿3例行穿刺抽液。随访6个月至3年无复发及排异反应。结论普理灵疝修补装置是复发性腹股沟疝修补的理想材料。

Objective To summarize the experiences of tension-free method in inguinal hernia recurrence. Methods Using the PHS Ethicon Inc,42 patients with recurrent hernia were performed tension-free hernioptasty. Results The operation time was from 40 to 150 minutes. The patients could walk up within 1 d after the procedure. No incision infection was found. The complications included 4 retention of urine, 3 large scrotal hematoma requiring surgical drainage. The follow-up period ranged from 6 months to 3 years, no recurrence and foreign body sensation in inguinal region were observed. Conclusion PHS can be anatomically adapted to repairing and augmenting the myopectineal orifice. It is suitable to the patients with recurrent inguinal hernia.