良性前列腺增生开放手术同时行经腹膜前腹股沟疝修补术21例报告

Combined Open Prostatectomy and Preperitoneal Inguinal Herniorrhaphy: a 21-Case Report

目的 :评价在良性前列腺增生 (BPH)开放手术的同时行经腹膜前腹股沟疝修补术的疗效。 方法 :2 1例伴有可复性腹股沟疝的BPH患者 ,取耻骨上纵行切口 ,在盆腔内先行腹膜前腹股沟疝修补术 ,其中 4例疝囊较大的采用聚丙烯网片修补 ,然后按常规方法行经耻骨上或耻骨后前列腺摘除术。 结果 :2 1例均获随访 ,随访时间为 6个月～ 7年 ,2例疝复发 ,复发率为 9.5 %。另外 19例无感染和疝复发。 结论 :在BPH开放手术同时行经腹膜前腹股沟疝修补术是可行的 ,手术方法简单 ,效果肯定 。

Objective: To evaluate the effect of simultaneous open prostatectomy and preperitoneal inguinal herniorrhaphy. Methods: Twenty-one patients with benign prostatic hyperplasia(BPH)and inguinal hernia, underwent simultaneous suprapubic or retropubic prostatectomy and preperitoneal inguinal herniorrhaphy through Pfannenstiel's incision. In 4 cases with bigger inguinal mass, hernia repair was performed with polypropylene meshwork (PPM). Results: The 21 patients were followed up for 6 months to 7 years. There were 2 cases of recurrence ( 9.5%), with no morbidity and mortality in the other 19 cases. Conclusions: Open prostatectomy and preperitoneal inguinal herniorrhaphy can be performed during the same session without increasing infection and recurrence. The operation method is simple and the effect is positive, especially for older men.