PHS在腹股沟马鞍疝无张力修补41例分析

The prolene hernia system in tension-free repair of inguinal saddle hernia:Retrospective analysis of 41 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41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25～60min,全组留院观察24～72h,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6～42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 therapeutic efficacy of the prolene hernia system（PHS） in the tension-free repair of inguinal saddle hernia.Methods 41 patients using PHS were selected as subjects of this study.Results All patients received operation under local anesthesia,which lasted from 35 minutes to 60 minutes.They were kept in wards for attending from 24 hours to 72 hours.No scrotal swelling,hematoma,and incisional wound infection happened after the operation.Follow-up visits had been lasted from 6 to 42 months,and none of the patients had a relapse or the sensation of foreign body.Conclusion PHS is safe and effective in the tension-free repair,and it is suitable for inguinal saddle hernia.The successful operation lies in operative skills.