膜解剖在腹腔镜腹股沟疝修补术中的特点及临床应用

The characteristics and clinical application of membrane anatomy in laparoscopic inguinal hernia repair

目的探讨腹腔镜腹股沟疝修补术的膜解剖特点及临床应用。方法对我院47例腹股沟疝患者行腹腔镜腹股沟疝修补术时观察前腹壁的解剖及术后对手术视频分析,描述手术径路及解剖层次。结果腹腔镜腹股沟疝修补术在腹横筋膜及腹膜前筋膜之间操作,可解剖分离出无血管的平面,手术出血最少。壁平面与脏平面相互之间贯通需离断腹膜前筋膜。结论膜解剖指引下的腹腔镜腹股沟疝修补术可让手术更加精细,减少手术并发症的发生。

Objective To investigate the membrane anatomical characteristics and clinical application of laparoscopic inguinal hernia repair.Methods The anatomy of the anterior abdominal wall and postoperative video analysis were observed during laparoscopic inguinal hernia repair in 47 patients with inguinal hernia in our hospital.The surgical approach and anatomical level were described.Results Laparoscopic inguinal hernia repair was performed between the transverse abdominal fascia and the preperitoneal fascia.The avascular plane could be dissected and separated with minimal bleeding.The parietal plane and the visceral plane were connected to each other and the preperitoneal fascia needed to be removed.Conclusions Laparoscopic inguinal hernia repair under the guidance of membrane anatomy can make the operation more delicate and reduce surgical complications.