腹股沟疝充填式无张力修补术及腹腔镜下经腹腹膜前补片植入术106例对照分析

Filling tension-free repair of inguinal hernia and laparoscopic surgery through anterior abdominal peritoneal implantation of mesh control analysis of 106 cases

目的:探讨充填式无张力疝修补术与腹腔镜下经腹腹膜前补片植入术的异同。方法:收治≥22岁的成人腹股沟疝患者106例,其中采用腹腔镜下经腹腹膜前补片植入术54例(观察组),疝环充填式无张力修补术52例(对照组)。结果:观察组在切口感染、平均住院天数、术野神经感觉异常、术后尿潴留、术野慢性疼痛等方面均优于对照组。结论:腹腔镜下经腹腹膜前补片植入术具有创伤小、恢复快、切口美观的特点。

Objective:To explore the similarities and differences of the two treatments for filling-type tension-free hernioplasty and laparoscopic abdominal retroperitoneal patch implantation(Transabdominal preperitoneal,TAPP).Methods:106patients over22years old(including22years old)with inguinal hernia were selected.54cases(the study group)used patch before laparoscopic abdominal peritoneal implantation,and52cases(the control group)were given hernia ring filling tension-free repair.Results:The observation group was superior to the control group in incision infection,average length of stay,abnormal nerve sensation,postoperative urinary retention,chronic pain in the operation field and so on.Conclusion:TAPP has the advantages of small trauma,quick recovery and beautiful incision.