无张力疝修补术在复发疝中的应用

Evaluate of tension-free hernia repair to recurrent inguinal hernia:a report of 32 cases

目的探讨无张力修补术在复发疝中的应用价值。方法对1999年1月至2007年10月平湖市中医院外科诊治38例腹股沟复发疝修补术的临床资料进行回顾性分析。38例腹股沟复发疝中,传统手术37例,其中Ba.ssini术18例、Ferguson术17例、Mcway术2例、无张力手术1例。第1次术后疝复发时间2个月至15年,平均52个月。再次手术方式均采用无张力修补术。其中疝环充填式33例,普理灵疝装置(PHS)补片式5例。结果术后出现急性尿潴留4例、阴囊积液2例、疼痛1例。术后8~10d痊愈出院,全部病人随访2~14个月未见复发。结论无张力疝修补术应作为腹股沟复发疝的首选手术方式。

Objective To discuss the value of tension-free hernia repair in recurrent inguinal hernia.Methods From 1/1999 to 10/2007,38 patients with recurrent inguinal hernia udrwent reopration clinical were reviewed.The primary surgery had been traditional herniorrhaphy without prothesis in 37 cases(including 18 cases of Bassini、17 cases of Ferguson、2 cases of Mcway) and 1 case of lension-free hernia.Interval from the initial surgery to recurrence was 2months to 15 Years,average 52 months.38 cases with recurrent inguinal hernia were treated lension-free hernia repair including mesh plug-patch in 33 cases and Polypropylene-prolene Hernia System(PHS) in 5 cases.Results All cases were operatied successfully.The average postoperative slay was 8-10 days the the postoperative complications were 4 case of urinary retentions,2 cases of scrotal hydrocrlrs and 1 case of postoperative pain.The follow-up period ranged from 2-14 months and no recurrent was observed.Conclusion Tension-free hernia repair is the therapy of choice patients suffering recurrent inguinal hernia.