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Ultra-Pro Hernia System for Repair of Primary Complex Inguinal Hernia: Should It Be the Technique of Choice?
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作者 Tamer A. El-Bakary Nizar M. Bouchiba +1 位作者 Mohamed S. El-Akkad Ahmed S. El-Faki 《Surgical Science》 2017年第2期94-101,共8页
Purpose: The introduction of light weight three-dimension meshes into the field of inguinal hernia repair showed excellent outcomes. Ultrapro Hernia System (UHS) is one of these three-dimension meshes that allow reinf... Purpose: The introduction of light weight three-dimension meshes into the field of inguinal hernia repair showed excellent outcomes. Ultrapro Hernia System (UHS) is one of these three-dimension meshes that allow reinforcing the pre-peritoneal space with minimal fixation. It improves the patient quality of life with rapid resumption of the daily activities. The aim of this study is to evaluate the short-term outcomes of open mesh repair of primary complex inguinal hernia using UHS mesh. Methods: Between November 2013 and November 2015, seventy five male patients with complex primary inguinal hernia were submitted to open inguinal hernia mesh repair using the UHS. Results: The mean age was 46.1 years. Thirty three patients had inguinoscrotal hernias, 14 with Nyhus type IIIA, 22 with Nyhus type IIIB, & 6 patients had strangulated hernias. The mean operative time was 48 minutes. No operative complications were recorded. Post-operatively, the mean VAS scale on 1 day, 1 week, & 1 month was 3.22, 1.2, & 0.3 respectively. The mean duration of oral analgesics use was 2.1 days. None of the patients reported any chronic pain at 12 months post-operatively. Two cases of superficial wound infection were recorded that were treated by oral antibiotics. No recurrence was reported during a mean follow-up period of 26 months. Conclusion: Inguinal hernia repair using UHS is an effective technique that combines the advantages of the anterior and the pre-peritoneal approaches. It improves the patient’s quality of life with minimal recurrence rates. A larger number of patients with longer follow up periods are needed to increase the validity of our results. 展开更多
关键词 INGUINAL HERNIA Open mesh REPAIR ultrapro HERNIA SYSTEM
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超普网塞腹膜前间隙修补术治疗成人脐疝的疗效观察 被引量:6
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作者 谢妍妍 马东扬 +3 位作者 宋应寒 陆安清 汪梦鸿 雷文章 《中国修复重建外科杂志》 CAS CSCD 北大核心 2016年第6期739-741,共3页
目的探讨采用超普网塞(Ultrapro Plug)腹膜前间隙修补术治疗成人脐疝的疗效。方法回顾分析2011年9月-2015年6月采用超普网塞腹膜前间隙修补术治疗的71例脐疝患者临床资料。男26例,女45例;年龄19~92岁,平均54.3岁。病程45 d^30年,中位病... 目的探讨采用超普网塞(Ultrapro Plug)腹膜前间隙修补术治疗成人脐疝的疗效。方法回顾分析2011年9月-2015年6月采用超普网塞腹膜前间隙修补术治疗的71例脐疝患者临床资料。男26例,女45例;年龄19~92岁,平均54.3岁。病程45 d^30年,中位病程18个月。术前经彩色超声多普勒及CT检查明确。根据美国麻醉医师协会(ASA)麻醉分级标准:Ⅰ级12例,Ⅱ级34例,Ⅲ级21例,Ⅳ级4例。记录手术时间、术后住院时间、手术并发症及复发情况。结果术中探查疝环直径0.5~3.0 cm,平均1.8 cm;无肠管、血管损伤等并发症发生。手术时间12~35 min,平均22.4 min;术后住院时间12~48 h,平均16.3 h。术后2例切口发生脂肪液化,其余患者切口Ⅰ期愈合。69例患者获随访,随访时间8~51个月,中位时间28个月。术后出现血清肿1例,补片感染1例,脐疝复发1例;无术后异物感及慢性疼痛发生。结论采用超普网塞腹膜前间隙修补术治疗成人脐疝,具有手术时间及住院时间短、术后恢复快、并发症少以及复发率低等优点。 展开更多
关键词 脐疝 无张力修补术 超普网塞 成人
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自固定补片与超普网塞补片在无张力疝修补术中的临床对比分析 被引量:8
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作者 廖海 刘祖明 《中华疝和腹壁外科杂志(电子版)》 2017年第5期378-381,共4页
目的对比分析自固定补片(Pro Grip)与超普网塞补片(UPP)在无张力疝修补术中的临床应用效果。方法收集黔西南州人民医院2015年1至12月确诊为腹股沟斜疝或直疝的92例患者,按入院的顺序编号,奇数为试验组(47例),偶数为对照组(45例),试验组... 目的对比分析自固定补片(Pro Grip)与超普网塞补片(UPP)在无张力疝修补术中的临床应用效果。方法收集黔西南州人民医院2015年1至12月确诊为腹股沟斜疝或直疝的92例患者,按入院的顺序编号,奇数为试验组(47例),偶数为对照组(45例),试验组采用自固定补片(Pro Grip),而对照组采用超普网塞补片(UPP),均在全麻或腰硬联合麻醉下行无张力疝修补术。观察2组患者手术时间、住院时间、住院费用、术后并发症(切口感染、阴囊积液、复发)、术后异物感、术后疼痛等临床指标的变化。疼痛评分用视觉模拟评分表记录。随访时间15个月。结果 2组患者在年龄、性别、疝的类型、合并症等临床资料方面比较,差异无统计学意义(P>0.05)。2组平均手术时间、住院时间及术后第3天、1、3、9、15个月术后疼痛程度方面自固定补片组优于超普网塞补片组,差异有统计学意义(P<0.05)。而自固定补片组住院费用略高,与超普网塞补片组比较差异有统计学意义(P<0.05)。术后第1、3、6、9、15个月异物感发生率及术后并发症(切口感染、阴囊积液、复发)发生率等方面比较,2组差异无统计学意义(P>0.05)。结论自固定补片组住院总费用略高于超普网塞补片组,术后异物感发生率、术后并发症(切口感染、阴囊积液、复发)发生率无明显差别,而用自固定补片行疝修补术具有手术时间、住院时间短,术后疼痛轻等优点。因此,自固定补片有望在疝修补术中得到普及。 展开更多
关键词 腹股沟 疝修补术 无张力 自固定补片 超普网片
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