腹股沟复发疝再手术的探讨

Discussion on the reoperation of recurrent inguinal hernia

腹股沟疝修补术是临床常见腹外疝治疗方式,全世界腹股沟疝修补术每年手术量>2000万台。虽然材料学和腹腔镜技术不断发展,腹股沟疝修补术持续改进,各种修补材料和手术方式不断出现,但术后复发仍然无法避免,这是导致患者再手术的主要原因。腹股沟复发疝通过手术治疗能够痊愈,由于其病情复杂、临床表现多样化、处理棘手、术后并发症多,因此,术前正确评估病情,准确选择与把握手术时机、手术修补范围、手术方式、手术修补层次、手术入路,积极预防术后并发症,妥善处理原补片和给予患者人文关怀是疝外科医师需要关注的重点。笔者就上述问题围绕腹股沟复发疝再手术进行探讨。

Inguinal hernia repair is a clinically com mon procedure to treat abdominal external hernia.More than 20 million hernias are estimated to be repaired every year around the world.With the continuous development of patch materials and endoscopy technology,various repair materials and surgical methods emerge in an endless stream.However,recurrence is always one of the inevitable complications after operation,and it has become the main cause of reoperation for patients.Recurrent inguinal hernia can be cured by surgical treatment.Due to that it is a complex disease with diverse clinical manifestations,diffi cult management and many complications,how to master the timing and technique of operation correctly,prevent postopera tive complications,deal with the original patch,and give humanistic care has become the focus of attention of hernia surgeons.The author has discussed the reoperation of recurrent inguinal hernia in this paper.