疝环充填式无张力修补术治疗老年腹股沟疝59例体会

Tension-free Hernia Repair Filling Type Ring for Aged Inguinal Hernia in 59 Cases

目的:总结疝环充填式无张力修补术治疗老年腹股沟疝的近期临床效果。方法:自2008年10月～2010年8月采用Mesh-plug方法对59例老年腹股沟疝患者行无张力疝修补术。结果:全部治愈,患者术后平均1d下床活动,平均住院天数6.5d。并发尿潴留3例,8例术后切口疼痛,其中3例于手术当晚使用止痛剂,阴囊肿胀4例,7d内吸收消退。无切口感染其他明显并发症,复发1例,复发率1.8%。结论:无张力疝修补术很少游离正常解剖,并确保了无张力修补,这是患者迅速回复及低复发率的两个最重要因素。

Objective：summary tension-free hernia repair ring filling in the treatment of senile inguinal hernia recently clinical effect .Methods：since October 2008-2010 August Mesh method of using plug - 59 old groin hernia patients tension-free hernia repair.Results：All patients cured, on average, average bed ld number 6.5 d. Concurrent urinary retention in 3 cases, 8 cases of postoperative pain, 3 cases of incision in the use of analgesics and swelling in 4 cases, absorb 7d, No other obvious complications, infection of incision, 1 relapse relapse 1 -8%. Conclusion：tension-free hernia repair rarely favorable, and ensure the normal anatomy, this is without tension repair rapidly reply with low recurrence and two of the most important factors.