腹膜前间隙无张力腹股沟疝修补术治疗老年腹股沟疝67例

Sixty-seven cases of tension-free preperotioneal space inguinal hernia repair

目的总结腹膜前间隙无张力疝修补术治疗老年腹股沟疝的方法和经验.方法 回顾性分析四川省资阳市雁江区人民医院2011年3月至2012年10月应用善释D10网片进行前径路腹膜前间隙疝修补术治疗老年腹股沟疝患者67例的临床资料.结果 67例患者中,手术时间35～60 min,平均（43±4）min.术中出血2～9 ml,平均（4.8±1.6）ml.患者术后均未用止痛剂,平均住院（9.5±2.5）d.患者伤口均一期愈合,随访2～19个月,无感染、无慢性疼痛、无复发.结论 腹膜前间隙疝修补术完整地修复了整个耻骨肌孔,可根本性治疗老年腹股沟疝,术式安全可靠、易掌握.

Objective To summarize the methods and experience of preperitoneal space inguinal herniorrhaphy by tension-free method with the elderly patients. Methods A total of 67 cases with the elderly inguinal hernia treated by the preperitoneal space inguinal herniorrhaphy with Easyprosthes D10 mesh were analyzed in our hospital from March 2011 to October 2012. Results The age were （67.7 ± 6.4） years old. The operative time were （43 ± 4） minutes, and the amount of bleeding were （4.8 ± 1.6） milliliter. All of the patients did not apply the analgesic and the length of hospital stay were （ 9.5 ± 2.5 ） days. The follow- up lasted 2 to 19 months. No infection chronic pain and palindromia were observed. Conclusions The preperitoneal space inguinal herniorrhaphy is able to repair pectineus hole inextenso, which is a safe and effective and reliable method to radically cure inguinal hernia of the elderly patients.