开放腹膜前疝修补手术的要点和难点

The key points and difficulties of open preperitoneal herniorraphy

开放腹膜前疝修补手术能覆盖整个肌耻骨孔,达到全腹股沟修补,更符合人体工程力学原理,已在临床上广泛应用。Kugel手术作为经典的开放式腹膜前修补术,具有微创、免缝合固定、术后并发症少等优点,适用于绝大多数的腹股沟疝,但学习曲线较长。文中阐述通过对Kugel手术入路进行改良,大大缩短了学习曲线,术后并发症少,临床效果良好,并详细介绍了开放腹膜前疝修补手术的要点、难点。

Open preperitoneal herniorraphy, which is consistent with human engineering principle, can cover the My- opectineal orifice, repair tile whole groin area, and has been widely adopted in clinical practice. As an classic procedure of open preperitoneal herniorraphy, Kugel procedure has the advantages of minimal invasion, sutureless and less postoperative complications. It is suitable for most of the inguinal hernias but has a steer learning curve. This manuscript states that Ku- gel procedure with an modified approach has a shorter learning curve, less postoperative complications and good clinical resuits. Recommendations of the key points and difficuhies about open preperitoneal herniorraphy are also given in details in this article.