前入路腹膜前Kugel补片修补治疗腹股沟疝

Repair of preperitoneal Kugel patch via anterior approach in the treatment of inguinal hernia

目的探讨腹膜前Kugel补片修补腹股沟疝的疗效。方法总结2004年4月至2005年5月应用Kugel补片行开放性腹膜前修补治疗腹股沟疝24例的临床资料。结果手术时间35～55m,平均40m。术后6～12h下床活动,无尿潴留、切口积血、切口感染等并发症。术后随访1～12个月,无复发。结论腹膜前放置Kugel补片修补腹股沟疝技术是一种创伤小、无张力、安全、术后恢复快的治疗方法。

Objective To investigate the therapeutic efficacy on the rapair of preperitoneal Kugel patch for repairing inguinal hernia with preperitoneal Kugel patch of anterior approach.Methods From Apr.2004 to May 2005,the clinical date of 25 cases with inguinal heria received repair of preperitoneal Kugel patch via anterior approach were analyzed retrospectively.Results The mean operative time was 40 minutes（35-55 minutes）.All cases could left the bed in 6-12 hours after operation.No postoperative urinary retentions,incisional hematomaand infection were found.With postoperative follow-up time for 1-12-month,no recurrence was found.Conclusion Repair of inguinal hernia using preperitoneal Kugel patch of anterior approach is good ideal procedure.It has minimally invasive,tension-free,safe and postoperative rapid recovery.