疝环充填式无张力疝修补术治疗嵌顿性腹股沟疝

Plug-mesh tension-free hernioplasty in the treatment of incarcerated inguinal hernia

目的探讨疝环充填式无张力疝修补术治疗嵌顿性腹股沟疝的临床价值。方法回顾性分析疝环充填式无张力疝修补术治疗30例嵌顿性腹股沟疝的临床资料。观察其补片感染等并发症及复发情况。结果30例患者手术均顺利,无手术切口感染等严重并发症发生。5例术后出现急性尿潴留,4例出现阴囊积液或切口血清肿,全部患者均获得随访,随访时间5～60个月,无复发。结论疝环充填式无张力疝修补术适宜用于治疗嵌顿性腹股沟疝。

Objective To investigate the clinical significance of plug-mesh tension-free hernioplasty in the treatment of incarcerated inguinal hernia. Methods Clinical data of 30 cases with incarcerated inguinal hernia who had received plug-mesh tension-free hernioplasty were retrospectively analyzed. The complications of patch infection and recurrence rate were observed. Results The operations on the 30 cases were performed successfully and no severe complications of operative incision infection occurred. 5 cases suffered from acute uroschesis and 4 cases suffered from postoperative scrotal or incisional seroma. Follow-up was done in all cases. The follow- up periods ranged from 5 to 60 months, and no recurrence was reported. Conclusion Plug-mesh tension-free hernioplasty is effective in the treatment of incarcerated inguinal hernia.