疝环充填式无张力疝修补术后并发症防治经验总结

Experiences of the prevention and treatment of the complications of Mesh plug hernia repair

目的：总结疝环充填式无张力疝修补术后并发症防治经验。方法：回顾分析2003年3月-2009年3月146例临床资料。结果：术后切口早期严重疼痛20例，持续疼痛2例，后期疼痛2例，腹股沟区硬块异物感2例。阴囊积液9例，其中1例顽固性积液在术后1月再次手术，切口感染3例。尿潴留18例。随访3～5年，2例在术后1．5年-2年出现腹股沟区疼痛，1例在术后12月复发。结论：努力预防和降低术后并发症，有望进一步提高治疗效果。

Objective To summarize experiences of the prevention and treatment of the complications of Mesh plug hernia repair. Methods The data of 146 cases from 2003 Mar to 2009 Mar was retrospectively analyzed. Results Postoperative complications included 20 eases of severe wound pain, 2 durative pain, 2 wound infection, 16 cases urtnary retention, 2 foreign body hard lump sensation in the groin region, 9 scrotal hydmeele and 1 obstinate hydrocele of them was reoperated one month after previous operation. The follow up during 3 -5 years, 2 cases of pain in the groin region and 1 hernia recurrence was observed. Conclusion The prevention and decreased of the postoperative morbidity is attempted and the therapeutic effect is further improved.