无张力疝修补术治疗腹股沟疝40例体会

Tension-free hernia repair inguinal hernia of 40 cases

目的总结应用聚丙烯网状补片治疗腹股沟疝107例的近期治疗效果。方法使用聚丙烯网状补片对107例各类腹股沟疝患者进行无张力疝修补;观察手术方法、时间、术后患者自主能力恢复、术后伤口疼痛、并发症和复发率。结果107例患者共施行116次lichtenstein无张力疝修补术,单侧疝及双侧疝平均手术时间为45 min和90 min,术后2~6 h下床活动,术后患者疼痛轻,术后1例发生阴囊积液,1例发生皮下血肿,患者均于术后3~5 d痊愈出院,90%病例获随访,随访时间3~14个月,无复发病例。结论无张力疝修补术治疗腹股沟疝有手术方法简单、手术指征广、术后疼痛轻、恢复快、并发症少和复发率低的优点。

Objective To summarize the recent therapeutic effect（107 cases）of the repair of inguinal hernia with Polypropylene mesh patch.Methods 107 patients were treated by tension-free hernia repair with polypropylene mesh patch.The operative procedure,time,surgical indication,ability recovery,postoperative pain,complications and recurrence rate were studied.Results 107 cases were performed 116 times with Lichtenstein tension-free hernia repair,the mean operative times of unilateral hernia and bilateral hernia were 45 minutes and 90 minutes,2 to 6 hours after getting out of bed,little postoperative pain,1 case of scrotal hydrocele,1 case of hematoma,the patients were discharged 3 to 5 days after surgery,90% of the patients were followed up for 3 to 14 months,no recurrence.Conclusions The surgical method of tension-free hernia repair was easy,wide surgical indication,little postoperative pain,quick recovery,few complications and low recurrence.