“8”字缝合法在腹股沟直疝TEP中的应用效果

Application effect of "8" suture of direct inguinal hernia in TEP

目的分析“8”字缝合法在腹股沟直疝全腹膜外疝修补术(TEP)中的应用效果。方法回顾性分析2009年1月至2016年12月我院普通外科收治的508例行TEP治疗的患者的临床资料,将患者分为斜疝组和直疝组,比较两组术后复发情况。将2017年1~12月我科收治的86例腹股沟直疝患者随机分成对照组(25例,行TEP)和试验组(61例,TEP+“8”字缝合法),比较两组术后血清肿发生情况及复发情况。结果直疝组复发率高于斜疝组(P<0.05)。对照组血清肿发生率及术后复发率均显著高于试验组(P<0.05)。结论在腹股沟直疝TEP中,采用“8”字缝合法反向牵引缝合固定假性疝囊可有效降低术后血清肿发生率及复发率。

Objective To analyze the application effect of "8" suture of direct inguinal hernia in totally extraperitoneal prosthetic (TEP). Methods The clinical data of 508 patients underwent TEP treatment admitted in general surgery department of our hospital from January 2009 to December 2016 were retrospectively analyzed, patients were divided into direct hernia group and oblique hernia group and the recurrence rates after surgery were compared between the two groups. 86 patients with direct inguinal hernia admitted in our department from January to December 2017 were randomly divided into control group (25 cases, treated with TEP) and experimental group (61 cases, treated with TEP+"8" suture). The incidences of seroma and recurrence rates after operation were compared between the two groups. Results The recurrence rate of the direct hernia group was higher than that of the oblique hernia group(P<0.05). The incidence of seroma and recurrence rate in the control group were significantly higher than those in the experimental group (P<0.05). Conclusions In TEP of direct inguinal hernia, reverse traction suture with "8" suture can effectively reduce the incidence of seroma and recurrence rate after operation.