股疝经股部腹膜前无张力修补28例临床疗效

Clinical experience and curative effect of 28 cases of anterior tension-free repair of femoral hernia via femoral peritoneum

目的探讨股疝经股部腹膜前无张力修补的手术操作及临床疗效。方法回顾性分析2016年12月到2018年6月,陕西省第四人民医院收治的28例成人股疝患者的临床资料,均行经股部腹膜前无张力修补术。观察手术时间、术后住院时间、术后疼痛、术后复发及相关并发症等指标。结果本组患者平均手术时间为20~31 min,术后切口局部均未加压包扎,手术当天均下床活动。住院期间伤口疼痛轻微,平均住院2.6 d。术后1周内脂肪液化1例,无血清肿、无切口感染、无淋巴漏、无补片感染、无复发。结论经股部腹膜前无张力修补治疗股疝安全可靠,手术难度相对较低,可以临床推广。

Objective To explore the operation method and clinical effect of anterior tension-free repair of femoral hernia via femoral peritoneum. Methods We retrospectively analyzed 28 adult patients with femoral hernia treated anterior tension-free repair of femoral hernia via femoral peritoneum in the second ward of General surgery, Fourth people's Hospital of Shaanxi Province from December 2016 to June 2018. The operation time, hospital time, postoperation pain, recurrence and related complications were observed. Results The average operative time was 20~31 minutes. No pressure bandage was applied to the incision after operation, and all patients got out of bed on the day of operation. There was slight pain in the wound during hospitalization. The average hospital stay was 2.6 days. Fat liquefaction occurred in 1 case within 1 week after operation. There was no seroma, incision infection, lymphatic leakage, infection of mesh and recurrence during follow-up. Conclusion It is safe and reliable to treat femoral hernia with anterior tension-free repair of femoral peritoneum via femoral peritoneum. The operation is relatively easy, so it can be popularized in clinic.