TAPP治疗急性嵌顿性腹股沟疝22例临床效果观察

TAPP in the Treatment of Acute Incarcerated Inguinal Hernia： Clinical Effect Observation of 22 Cases

目的探讨腹腔镜腹膜前疝修补术（TAPP）治疗成人急性嵌顿性腹股沟疝的治疗效果。方法我院2013年1月至2014年5月收治22例急性嵌顿性腹股沟疝患者于腹腔镜下行探查、复位及一期网片修补（TAPP术），对其治疗效果回顾性分析。结果22例手术过程均顺利，平均手术时间为126．4min。无切口感染和排斥反应，无术后死亡。术后患者疼痛1例，阴囊积液l例。术后随访6个月-2年，未见复发。结论腹腔镜腹膜前疝修补术可以安全有效地用于急性嵌顿性腹股沟疝的患者。

Objective To evaluate clinical effects of transabdominal preperitoneal herniorrhaphy（TAPP）in the treatment of acute incarcerated inguinal hernia in adults. Methods A retrospective study was made on analyzing the clinical data of 22 patients with acute incarcerated inguinal hernia treated by TAPP between Jan. 2013 and May 2014. Results All cases were operated successfully. The mean operative time was 126.4 min. There was no incision infec- tion, rejection reaction or postoperative death. There was 1 case with pain and 1 case with scrotal hydrocele after opera- tion. All patients were followed - up for 6 months to 2 years with no recurrence. Conclusion TAPP is safe and effec- tive in the treatment of acute incarcerated inguinal hernia.