摘要
目的:探讨经腹腹膜前无张力疝修补术中疝囊壁的临床应用研究。方法:选择2018年7月至2019年7月成人腹股沟疝患者15例行经腹腹膜前无张力疝修补手术,将术中分离出来的疝囊沿其纵轴切开,充分利用囊壁来拓展腹膜,使腹膜在无张力的条件下进行缝合。观察腹膜撕裂、闭合不全、无法关闭腹膜、腹膜无法平贴补片等现象的发生率。结果:15例中无1例出现腹膜撕裂、闭合不全、无法关闭腹膜、腹膜无法平贴补片等现象。结论:利用自身疝囊壁来拓展腹膜,使腹膜在无张力的条件下进行缝合,明显降低腹膜撕裂、闭合不全、无法关闭腹膜、腹膜无法平贴补片等现象的发生率,进而避免了术后相关并发症的发生。该技术操作简单,特别适于在基层医院开展。
bjective:To investigate the clinical application of the wall of hernia sac in transperitoneal tension free hernioplasty.Methods:From July 2018 to July 2019,15 cases of adult inguinal hernia were treated with preperitoneal tension free hernia repair.The hernia sac was cut along its longitudinal axis,and the peritoneum was sutured under tension free condition by making full use of the wall of the sac to expand the peritoneum.To observe the incidence of peritoneal tear,incomplete closure,inability to close the peritoneum,and inability to plain patch the peritoneum.Results:None of the 15 cases had peritoneal tear,incomplete closure,inability to close the peritoneum,or flat patch.Conclusions:The use of hernia sac wall to expand the peritoneum and make the peritoneum suture in tension free conditions can significantly reduce the incidence of peritoneal tear,incomplete closure,inability to close the peritoneum,and peritoneum can not be flat patch,thus avoiding the occurrence of postoperative complications.The technology is simple to operate and is especially suitable for the development of grass roots hospitals.
作者
周玲
郭震宇
钟翔
林云
赖清源
ZHOU Ling;GUO Zhen-yu;ZHONG Xiang;LIN Yun;LAI Qing-yuan(Dayu County People's Hospital,Dayu,Jiangxi 341500)
出处
《赣南医学院学报》
2019年第11期1154-1155,共2页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
基金
赣州市指导性科技计划项目(编号:GZ2018ZSF509)
关键词
疝囊壁
纵轴切开
拓展腹膜
无张力缝合
hernia sac wall
longitudinal incision
peritoneal expansion
tension free suture