腹股沟疝无张力修补术后慢性疼痛的原因及治疗

Cause and treatment of chronic pain after tension-free repair of inguinal hernia

目的探讨无张力疝修补术后慢性疼痛的原因、预防对策及治疗。方法回顾性分析我院2009年4月至2010年5月106例腹股沟疝无张力修补术后患者的临床资料进行随访。结果本组患者均行无张力疝修补术,随访时间3～13个月,术后出现3个月以上慢性疼痛不能缓解并需要进一步治疗的患者6例,发生率为5.66%。结论局麻下熟练的手术操作、部分可吸收修补材料应用、腹膜外修补方式以及改良的补片固定方式可以减少腹股沟疝无张力修补术后慢性疼痛的发生。

Objective To explore the cause, treatment and prophylaxis of chronic pain after tension-free repair of inguinal hernia. Methods The clinical data from 106 cases with inguinal hernia had the tension-free hernioplasty,from April 2009 to May 2010,were retrospectively analyzed. Results Tensionfree repair was performed in all the patients and the follow-up time was 3 to 13 months. Six patients （5.66%） had chronic pain which can not relieve and need further treatments. Conclusions The skilled operative procedure,local anesthesia, new semi-absorbable material, transinguinal preperitoneal （TIPP） technique and the updated mesh＇s fixed mode could reduce the rate of chronic pain after tension-free repair.