单纯采用医用聚丙烯网片行腹股沟疝无张力修补术

The application of the medical polypropylene mesh singly used for tension-free hernioplasty

目的：总结单纯采用医用聚丙烯网片在腹股沟疝无张力修补术中的疗效.方法：通过52例患者单纯采用医用聚丙烯网片加强腹股沟管前壁进行精索原位修补替代传统的网塞加补片方式行无张力腹股沟疝修补术,对其疗效进行观察.结果：52例患者手术时间平均35min,术后1d均能起床活动,住院时间3～5d,52例术后均未出现并发症,随访1～48个月无复发.结论：单纯采用聚丙烯网片进行精索原位修补,结合疝囊高位结扎以及内环口修补,经济实用,手术创伤小,术后并发症少,值得在基层医院推广应用.

Objective： To summarize the effect of medical polypropylene mesh singly useu ior tenslon-Iree hernioplasty. Methods： 52 patients using a medical polypropylene mesh to strengthen the anterior wall of the in- guinal canal and repair the spermatic cord , to replace traditional methods in the tension-free hernioplasty , its effects were observed. Results： The operation time is average 35 minutes, the patients can immediately have a movement 1 day after operation, hospital stay 3-5 days, no case has postoperative complications, no case has re- currence during the follow-up of 1-48 months. Conclusion： The medical polypropylene mesh singly used for ten- sion-free hernioplasty proves to be economical and practical, with less surgical trauma and post-operative com- plications. It is a feasible, effective surgical method.