腹腔镜完全腹膜外双侧腹股沟疝修补术中留置负压引流管预防术后血清肿的临床体会

Suction drainage in the prevention of seroma after laparoscopic totally extraperitoneal repair for bilateral inguinal hernia

目的:探讨腹腔镜完全腹膜外双侧腹股沟疝修补术(TEP)中留置负压引流管预防术后血清肿的应用价值。方法:回顾分析2013年1月至2016年12月为115例双侧腹股沟疝患者行TEP的临床资料,根据术中是否留置负压引流管分为引流组(n=48)与对照组(n=67),对比分析两组患者围手术期数据。结果:两组患者年龄、病程、双侧疝分型、手术时间、出血量、疝囊处理方式、手术后前3 d疼痛评分、术后住院时间差异无统计学意义;引流组术后血清肿发生率(4.17%vs. 22.39%)低于对照组,差异有统计学意义(P<0.05)。结论:腹膜外间隙留置负压引流管可有效减少腹腔镜TEP术后血清肿的发生。

Objective:To investigate the effect of suction drainage in prevention of the seroma after laparoscopic totally extraperitoneal repair(TEP)for bilateral inguinal hernia.Methods:Clinical data of 115 patients,who suffered from bilateral inguinal hernia and underwent TEP repair from Jan.2013 to Dec.2016,were retrospectively collected.Patients were divided into drainage-group(n=48)and control-group(n=67)according to whether suction drainage tube was placed during operations.Perioperative data were statistically compared between the two groups.Results:There was no statistical difference in terms of age,course of disease,bilateral hernia type,operation time,blood loss,treatment method of hernia sac,pain score in the postoperative 3 d and postoperative hospital stay between two groups,however the rate of postoperative seroma was significantly lower in drainage-group(4.17%vs.22.39%,P<0.05).Conclusions:Extraperitoneal suction drainage can effectively reduce the incidence of postoperative seroma after bilateral TEP repair.