疝环充填式无张力疝修补术在老年腹股沟疝中的应用(附121例报告)

The application of tension-free hernioplasty in elderly inguinal hernia.

目的 总结老年疝环充填式无张力疝修补术的近期治疗效果。方法 全部采用mesh - plug定型产品行疝环充填式无张力修补。结果 12 1例均手术过程顺利。术后并发尿潴留 6例 ,阴囊积液 4例 ,伤口持续疼痛 2例 ,局部轻度隆起伴异物感 2例 ,切口下血肿 2例。随访 12 4个月 ,短期复发 2例。结论 疝环充填式无张力疝修补术是一种完全符合生理解剖 ,具有手术方法操作简单、创伤小、无张力、省时、近期疗效满意及复发率低的理想疝修补手术。尤其适合老年和 (或 )伴有其它疾病者。

Objective To summarize the recent therapeutic effects of mesh-plug tension-free hernioplasty in elderly inguinal hernia.Methods All cases were performed with mesh-plug case-hardened products,which are manufactured by American Bard Company.Results All the operative procedures were performed smoothly.Postoperative complications were:6 cases of urinary retention,4 scrotal hydroceles,2 persistent wound pain,2 local lightly projections with foreign body sensation,2 hypoincisional haematoma.1~24 months of follow-up were taken,2 recent recurrences were reported.Conclusion Mesh-plug tension-free hernioplasty is a perfect surgical operation.Its main characteristics are:simple performance,less trauma,tension-free,time-saving,good recent therapeutic effect,and fewer recent recurrence.It is especially suitable to the elderly patients and/or patients with other diseases.