腹股沟疝修补术后再发股疝分析

Analysis of recurrent femoral hernia after inguinal hernioplasty

目的 分析腹股沟疝修补术后再发股疝的原因、手术方法 选择及预防措施.方法 对2000年7月至2010年6月收治的12例腹股沟疝修补术后再发股疝患者资料进行回顾性分析.结果 本组患者均治愈,手术时间60～120min.术后疼痛轻,1例出现尿潴留,经导尿后缓解.无术后切口感染,随访6～24个月,无复发.结论 腹股沟疝修补术后再发股疝的治疗应根据初次手术方式及材料,选择不同的修补方法,同时预防的关键是选择合理的初次手术方式.

Objective To analyze the causes, operation methods and precautionary measures of recurrent femoral hernia（RFH） after inguinal hernioplasty（IH）. Methods The data of 12 cases of RFH af- ter IH from July 2000 to June 2010 were analyzed retrospectively. Results All cases were healed. The operation time was 60 - 120 min. All patients had slight wound pain;One patient had urine retain and got alleviated by urine catheterization. No one had wound infection ,and there was no recurrence during the follow-up of 6 - 24 months. Conclusion For treatment of RFH after IH, the repair method should be decided in accordance with the approach and material of primary operation. The crucial factor for prevention of RFH is to choose appropriate primary operation methods.