无张力疝修补术治疗腹股沟斜疝48例体会

The experince of oblique tension - free hernia repair for 48 eases of indirect inguinal hernia.

目的总结疝环充填式无张力疝修补术治疗腹股沟斜疝的经验，探讨手术要点和注意事项。方法总结笔者所在医院2005年12月。2008年5月48例疝环充填式无张力疝修补术治疗腹股沟斜疝的临床经验。结果48例均顺利完成手术，手术时间40-80min，平均50min；90％以上的患者在术后12～24h即可下床活动；无明显并发症发生，随访1～2年，没有复发病例。结论疝环充填式无张力斜疝修补术较传统手术效果好、并发症少，恢复快，是治疗腹股沟斜疝的理想术式。

Objective To study the application of mesh and plug hernial ring tension free hernia repair in indirect inguinal hernia,including the operative procedure and attention. Methods The experiences of 48 patients with inguinal hernia treated by mesh plug hernia repair from December 2005 to May 2008 were summarized. Results All the operations were successfully. These operations lasted 40 - 80 minutes, and average time was 50 minutes. Over 90% patients could get up 12 - 24 hours post operation. There was no severe complication occurred. None of the 48 cases was recurred until followed up for 1 to 2 years. Conclusion There is a few complication in indirect hernia treated by mesh and plug hernial ring tension free herniorrhaphy. It is an ideal method to treat the indirect inguinal hernia.