无张力疝修补术中网塞和补片的安放与固定

The placement and fixation of mesh plug and patch in tension-free hernioplasty

目的探讨在无张力疝修补术中正确安放、固定网塞和补片的方法。方法回顾性分析123例疝环充填式无张力疝修补术患者网塞和补片的安放与固定技术。观察术后积液、感染、窦道形成、皮瓣坏死、疝复发的发生率。结果123例患者术后8d均恢复。随访1．5～10．0年，均无切口积液、感染、皮瓣坏死，手术侧无复发，未手术侧发生腹股沟疝5例。结论网塞和补片安放要覆盖整个腹壁缺损区，与缺损周围健康组织充分密切接触，安放平整，对正常组织结构不形成损害。固定要牢靠、持久。

Objective To explore the method of correctly placing and fixing mesh plug and patch in tension-free hernioplasty. Methods The data of 123 cases of plug-mesh tension-free hernioplasty with the method of placing and fixing mesh plug and patch were reviewed. Observed the incidence of postoperative effusion, infection, sinus formation, skin flap necrosis and hernia recurrence. Results All patients were restored after operation 8 days. Followed-up 1.5 -10.0 years, there was no incision effusion, infection, skin flap necrosis in all cases. No relapse happened on the operated side and 5 cases of inguinal hernia occurred on the non-operated side. Conclusions Mesh plug and patch must be placed to cover the whole abdominal wall defects, and contact closely with surrounding healthy tissue. They need to be placed neatly, fixed firmly and perpetually without any damage to the normal tissue structure.