应用PHS无张力修补术治疗腹股沟马鞍疝

Prolene hernia system in the tension-free repair operation of in- guinal saddle hernia

目的探讨PHS无张力修补术在腹股沟马鞍疝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，手术时间为25—60min，全组留院观察24～72h，无阴囊积液、切口感染、血肿及其他与手术有关的并发症。随访6～42个月，无复发，无异物样感。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 explore the therapeutic efficacy and operation experience of Prolene Hernia System （PHS） in the tension-free repair operation of inguinal saddle hernia. Methods All 41 cases using PHS were selected as the subjects of this study and the resuhs were analyzed. Results All patients were performed operation under the local anesthesia, and lasted from 25 min to 60 min. They had been keeping in ward for observation from 24 h to 72 h. No scrotal swelling, hematoma, and incisional wound infection happened after the operation. The follow-up time had been lasting from 6 months to 42 months, and none of patients catched a relapse or had the sensation of the foreign bodies. Conclusions Using PHS is safe and effective in the tension-free repair operation, and it is more suited to inguinal saddle hernia. The key of operation success is attaching importanee to operation skills.