超普疝装置腹膜前间隙无张力疝修补术治疗腹股沟疝体会

Experience of treatment with inguinal hernia in tension-free hernia repair of preperitoneal space with ultrapro hernia system

目的探讨应用轻量型部分可吸收超普疝装置(UHS)行腹膜前间隙无张力疝修补术的方法及效果。方法总结2009年5月至2011年5月应用UHS腹膜前间隙无张力疝修补术治疗腹股沟疝127例的临床资料。结果 127例全部治愈,随访115例,随访率90.5%,随访时间1～24个月,平均10个月。术后发生腹股沟区慢性疼痛5例,阴囊水肿3例,皮下淤血2例,脂肪液化2例,无感染、疝复发、睾丸萎缩等并发症发生。结论应用轻量型部分可吸收UHS腹膜前间隙无张力疝修补术治疗腹股沟疝,补片能完全覆盖耻骨肌孔,增强腹横筋膜前后壁,UHS腹膜前间隙无张力疝修补术是治疗腹股沟疝的理想方法。

Objective To explore the effectiveness of method and effect of tension-free hernia repair in preperitondeal space with application of light-weight partially absorbable ultrapro hernia system （UHS） in hernia repair. Methods A total of 127 patients with inguinal hernia and tension-free hernia repair in preperitoneal space with application of UHS were summarized from May 2009 to May 2011. Results Of them, 115 cases of follow-up were included with a follow-up rate of 90.5%. Duration of follow-up lasted 1 to 24 months with a mean of 10 months. The chronic ache of inguinal was observed in 5 eases, hematoma of scrotum in 3 cases, hypodermic hematoma in 2 cases,liquefaction offat in 2 cases. No complication of infection, no recurrence case and no teslicle contraction was occurred. Conclusions In application of light-weight partially absorbable uhrapro hernia system （UHS） in hernia repair, UHS can completely cover myopeetineal orifice, enhance transversalis fascia anterior and posterior wall Preperitoneal space UHS is ideal for inguinal hernia repair.