开放式腹膜前疝修补术在复发性疝中的临床研究(附23例报告)

Clinical analysis of recurrent inguinal hernia in open preperitoneal hernia repair(23 cases of report)

目的研究开放式腹膜前腹股沟疝修补术在复发性腹股沟疝中的手术效果。方法回顾性分析我院2009年6月至2010年4月对23例复发性腹股沟疝患者应用椭圆形补片(OP)行开放式腹膜前置入无张力疝修补术的手术方法和治疗效果。结果患者均一期愈合,随访6～13个月,无复发。结论正确认识腹横筋膜层,充分游离腹膜前间隙是手术的关键,开放式腹膜前腹股沟疝修补术治疗复发性腹股沟疝效果良好。

Objective To investigate the operation effect of open preperitoneal hernia repair in the patients with Recurrent inguinal hernia. Methods A total of 23 patients with recurrent inguinal hernia from June 2009 to April 2010 were admitted in the retrospective analysis. The oval-shaped patch （OP） was applied in tension-free hemia repair surgery and operation effects were assessed. Results All patients healed without recurrence after a follow-up of 6 to 13 months. Conclusions Appropriate understanding for transver - salis fascia and separating preperitoneal space is the key for surgery. Open preperitoneal inguinal hernia repair is effective for treatment of recurrent inguinal hernia.