三维补片在成人腹股沟疝腹膜前间隙无张力疝修补术的临床应用

Tri-dimension mesh for pre-peritoneal tension-free repair of inguinal hernia in adult

目的探讨三维补片(UHS疝修补装置)在成人腹股沟疝腹膜前间隙无张力疝修补术的临床应用。方法回顾性分析本院2008年12月～2011年12月应用UHS疝修补装置治疗的248例成人腹股沟疝的临床资料。结果手术时间为32～86 min,平均43 min,术后下床活动时间为8～16 h,住院3～7 d,平均4.8 d。11例(4.44%)发生手术相关并发症,其中3例(1.21%)出现切口脂肪液化,无一例发生切口感染、血清肿或血肿;5例(2.02%)出现阴囊积液。随访3～28个月,1例(0.40%)出现慢性疼痛;复发2例(0.81%),均经二次手术后痊愈。结论应用UHS行腹膜前间隙疝修补术安全、经济、有效,并发症少,复发率低。

Objective To assess clinical application of the Ultrapro Hernia System （UHS） in patients with inguinal hernias underwent pre-peritoneal tension-free repairs. Methods Clinical data of 248 cases with inguinal hernia underwent pre- peritoneal tension-free repair with UHS mesh at our hospital from December 2008 to December 2011 were analyzed, ret- rospectively. Results The mean operating time was 43 minutes （rang 32 to 68）, the mean hospital stay was 4.8 days （rang 3 to 7）, off-bed activity in 8-16 hours. It identified that eleven （4.44%） operation-related complications in different patients. Three patients （1.21%） had incision fat necrosis. Wound infection, seroma or hematoma was not noticed in any patient. Five patients （2.02%） had scrotal effusion. After a follow up of 3-28 months, one patient （0.40%） had chronic pain and two pa- tients （0.81%） had hernia recurrence in one year after surgery. Conclusion The repair of inguinal hernia with UHS is a safe, effective, economical and reproducible method, with low complication and recurrence rate.