部分可吸收平片在腹股沟嵌顿性疝修补术中的疗效

Clinical effects of Easy Prosthesis partially absorbable mesh in incarcerated inguinal hernia

目的探讨部分可吸收平片在嵌顿性腹股沟疝中的临床应用方法、安全性及效果。方法对2016年4月至2017年4月,大竹县人民医院收治的32例腹股沟嵌顿性疝行无张力疝修补术的临床资料进行回顾性分析。32例腹股沟嵌顿性疝全部采用部分可吸收平片行Lichtenstein修补术。每例均取局部渗出液送细菌培养(需氧)无细菌生长。结果本组患者32例全部治愈,住院时间7~9 d,术后出现腹胀11例,阴囊水肿7例,无残端疝囊积液、阴囊血肿,全部患者随访4~14个月,无复发及慢性疼痛。结论善释部分可吸收平片应用于嵌顿性腹股沟疝无肠坏死患者是安全、有效的。

Objective The aim of this study is to investigate the clinical application, safety and effect of Easy Prosthesis partial absorbable mesh in incarcerated inguinal hernia. Methods All of 32 patients with incarcerated inguinal hernia from April 2016 to April 2017 in Dazhu People＇s Hospital were included. All patients were treated with Lichtenstein repair. The incidence of chronic pain, scrotal edema, scrotum hematoma, and hernia recurrence were analyzed retrospectively. Local exudation were sent for bacterial culture, and no bacterial growth was found. Results All of the 32 patients were cured. Hospital stay was 7 to 9 days. Abdominal distention and scrotal edema were founded in 11 and 7 cases, respectively. No residual hydrocele and hematoma of scrotum were founded. No hernia recurrence and chronic pain were founded after 4 to 14 months follow up. Conclusion Partially absorbable mesh could be safely and effectively used in patients with incarcerated inguinal hernia without intestinal necrosis.