摘要
目的探讨局麻下前入路腹膜前间隙修补术治疗合并严重基础疾病的腹股沟疝患者的临床应用及技术要点。方法回顾性分析2009年6月至2011年5月间合并严重基础疾病的42例腹股沟疝患者的临床资料,观察其麻醉效果、手术方法及治疗效果。结果所有患者术后切口Ⅰ期愈合,麻醉及疗效满意,1例阴囊血肿和1例阴囊血清肿,均保守治愈,1例腹股沟疝术后异物感经理疗后康复。结论局麻下前入路腹膜前间隙修补治疗合并严重基础疾病的腹股沟疝患者是一种安全、有效、可靠、符合生理的治疗方法,细致的术前准备是患者痊愈的前提。
Objective To investigate the clinical management and main technique of inguinal hernia with serious basic diseases with the preperitoneal herniorrhaphy via open anterior approach under local anesthesia. Methods Fourty-two cases were retrospectively analyzed from June 2009 to May 2011 in our hospital. The effect of local anesthesia, management and operative methods were observed simultaneously. Results All the patients were cured completely and got the satisfactory results of local anesthesia and treatment. One case with scrotum seroma and 1 case with scrotum hematoma were cured by conservative method. One case with foreign body sensation was recovered by physical management. Conclusions The preperitoneal herniorrhaphy via open anterior approach under local anesthesia is safe, effective, reliable and complying to the physiology. Careful preoperative preparation is the premise of the operation.
出处
《中华疝和腹壁外科杂志(电子版)》
2011年第4期51-53,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
腹膜前
疝修补术
Hernia, inguinal
Preperitoneal
Herniorrhaphy