急诊腹股沟疝无张力修补术的应用体会

Experience of tension-free inguinal hernia repair in emergency patients

目的探讨在急诊腹股沟疝手术中,应用无张力疝修补术的安全性及疗效。方法回顾性分析2013年1月至2015年12月,南京医科大学附属南京医院34例实施急诊嵌顿性和绞窄性腹股沟疝的临床资料,包括手术方式、肠管切除与否、术后并发症和住院时间等。结果 34例应用无张力疝修补术的患者中,28例行开放手术,6例行腹腔镜手术,其中4例进行肠管切除。术后无切口及补片感染,住院时间4~9 d,平均(6.1±1.8)d。随访6个月至3年,平均2年,无复发。结论选择合适病例,术中注意保护切口免受污染,急诊腹股沟疝手术可以安全进行无张力疝修补术。

Objective To investigate the safety and efficacy of tension-free inguinal hernia repair in emergency cases. Methods From January 2013 to December 2015,the clinical data of emergency inguinal hernia repair in Nanjing Hospital were retrospectively reviewed. The operation procedures,bowel resection,postoperative complications and duration of hospital stay were analyzed. Results Of 34 cases,28 of them received open repair,and 6 underwent laparoscopic procedure. Bowel resections were performed in 4 cases.There were no wound infection and mesh infection. The mean hospital stay were（ 6. 1 ± 1. 8） days,ranged from 4 to 9 days. During the follow-up period（ ranged from 6 months to 3 years）,no recurrence was detected. Conclusion In the situation of emergency inguinal hernia repair,tension-free repair could be safely performed in selected patients.