复发腹股沟疝的无张力疝修补术临床分析

Clinical Analysis of Tension-free Hernioplasty of Recurrent Inguinal Hernia

目的探讨腹股沟复发疝的复发原因、预防和再手术方法。方法31例患者采用M arlex疝补片行无张力疝修补术,其中21例应用菊花型补片行疝环充填式无张力疝修补术。结果31例中除1例79岁高龄伴肺气肿、前列腺肥大患者复发外,余均无复发,效果满意。结论术中确切固定好平片和网塞以及术后解除导致高腹压的病因是预防腹股沟疝复发的关键。无张力疝修补术是治疗腹股沟复发疝、尤其是老年患者的首选手术方法。

Objective To introduce the tension-free hernioplasty of recurrent inguinal hernia,and to evaluate recurrent reasons and precaution and reoperation of recurrent inguinal hernia.Methods All cases were treated by tension-free hernioplasty,including 21 patients were operated with tension-free hernioplasty with plug-technique through hernia ring.Results 31 patients being not recurrent except that 1 patient who was recurrent with 79 years old,pneumonectasis and prostatause hernia,which is satisfactory.Conclusion Tension-free hernioplasty is the best way to treat recurrent inguinal hernia with low recurrency.