下腹正中切口无张力腹股沟疝修补术的手术配合

Nursing cooperation in preperitoneal inguinal hernia repair via lower abdominal median incision

目的探讨下腹正中切口无张力腹股沟疝修补术的手术配合要点。方法回顾性分析2012年1月至2016年1月,南京医科大学附属南京医院269例经下腹正中切口在腹膜前间隙行腹股沟疝无张力修补术患者的手术配合。结果 269例患者手术顺利,术后随访6~36个月,无复发。结论经下腹正中切口腹膜前间隙腹股沟疝修补术,创伤小、术后恢复快,可以减少术后并发症,缩短住院时间,值得在临床尤其是基层医院推广;充分的术前访视及评估、完善的环境和物品准备、默契的手术配合、严格的无菌技术、关键时刻严谨的清点、术后安全的转运及规范的交接是确保手术成功的关键。

Objective To explore the essential points of the nursing cooperation in preperitoneal inguinal hernia repair via lower abdominal median incision.Methods The nursing cooperation data of 269 patients in Nanjing hospital from January 2012 to January 2016 were analyzed retrospectively.Results Operations were successfully completed in all the patients.After the during of follow-up for 6 to 36 months, no recurrence was observed.Conclusion The advantages of preperitoneal inguinal hernia repair via lower abdominal median incision include minimal trauma, quick recovery, less postoperative complications and short hospitalization time.It is worthy of promotion in primary hospitals.The sufficient preoperative evaluation of patients, consummate material supply, practiced coordination in the every operative procedure, strict aseptic technique, rigorous surgical instrument counting and safe transfer after operation are the key points to guarantee successful operation.