Comparing the effects of Bassini versus tension-freehernioplasty: 3 years’ follow-up

In order to compare the effects of Bassini and tension-free mesh hernioplasty,a total of 552 patients with inguinal hernia who were subjected to surgical treatment in our hospital were randomly divided into the following two groups:the Bassini group(n=269)and the tension-free mesh group(n=283).The recurrence rates,pain,dis-comfort,and other complications were recorded,and the causes of the complications were explored.The recurrence rate in the Bassini group was 8.9%(24/269),significantly higher than that in the tension-free repair group(2.8%,8/283).In addition,the recurrence rates in the Bassini and tension-free groups before 2004 were 12.6%and 5.6%,respectively,which were markedly higher than the rates after 2004(5.3%and 0.7%,respectively).The rate of post-operative discomfort and pain within thefirst three months was higher in the Bassini group compared to the tension-free group(25.7%vs 18.5%,respectively).However,there was no difference after three months in the rate of post-operative discomfort and pain,incidence of infection,or scrotal edema between the two groups.The average hospital stay in the Bassini group was longer than that in the tension-free repair group(7.6�1.2 vs 4.5�2.2 days,respectively),but the cost was lower(4518.0�510 vs 6221.3�578 yuan,respectively).Thus,tension-free mesh hernioplasty is indicated for most inguinal hernia patients due to the low recurrence rate,rapid recovery time,and treatment success,but the traditional Bassini procedure has lower cost and other beneficial effects and is still suitable for some patients.

腹股沟疝改良前入路Kugel修补术12例分析

目的探讨腹股沟疝改良前入路Kugel修补术经验。方法采用美国巴德公司生产的单丝聚丙烯补片(ModifiedKugel补片),为12例腹股沟疝行腹膜前无张力修补术,评价手术过程及手术效果。结果手术时间最短40min,最长90min,平均(54±15)min,术后切口疼痛及异物感轻微。结论腹股沟疝改良前入路Kugel修补术操作过程简单,能修补整个腹股沟区,覆盖耻骨肌孔,学习曲线短,术后恢复快,并发症少,疼痛及异物感轻,适合在广大基层医院推广。

改进无张力疝修补术在腹外疝治疗中的应用效果

目的分析改进无张力疝修补术在腹外疝治疗中的应用效果。方法将2015年1月至2016年3月我院收治的89例腹外疝者随机分为对照组(44例,行传统疝修补术治疗)及观察组(45例,改进无张力疝修补术)。比较两组治疗效果。结果观察组的肠鸣音恢复时间、手术用时、术中出血量、排便时间、总成本、疼痛评分、满意率及复发率均显著优于对照组(P<0.05)。观察组术后并发症总发生率显著低于对照组(P<0.05)。结论改进无张力疝修补术治疗腹外疝患者具有手术创伤小,术后恢复快,远期复发率低,术后并发症少的优势。

研究改进无张力疝修补术在临床中治疗腹外疝的效果

目的研究改进无张力疝修补术在临床中治疗腹外疝的效果。方法 240例腹外疝患者,根据随机抽样方法分为对照组与观察组,每组120例。对照组采用传统手术方法进行修补,观察组采用改进无张力疝修补术进行治疗。观察和比较两组患者的手术指标、术后身体恢复情况、术后并发症。结果 (1)观察组肠鸣音恢复时间(16.29±3.55)h、排便时间(3.63±1.81)h、下床活动时间(2.62±1.03)d、平均手术时间(45.0±5.0)min、住院时间(6.55±0.09)d均明显短于对照组的(23.06±6.28)h、(6.00±2.33)d、(5.50±1.50)d、(60.0±9.0)min、(10.45±1.32)d,差异均具有统计学意义(P<0.05)。(2)观察组术后并发症发生率为5.00%,低于对照组的13.33%,差异具有统计学意义(P<0.05)。结论改进无张力疝修补术在临床中治疗腹外疝的效果显著,可提高临床治疗效果,缩短治疗时间,减少术后并发症的发生,有利于改善预后情况,具有良好的临床应用价值。

改良平片无张力疝修补术在腹股沟疝中的应用

目的探讨一种经济实用的腹股沟疝修补方法。方法采用改良的无张力疝修补方法对2010年6月以来收治腹股沟疝患者56例行手术治疗,观察手术效果及并发症情况。结果 56例患者无1例复发。并发尿潴留19例,均为腰硬联合麻醉者。阴囊血肿1例,皮下脂肪液化2例,出现低热26例。切口疼痛多能耐受,术后异物感不明显,费用低,住院时间短。结论改良平片无张力疝修补术符合疝修补理念,取得了满意的效果,减轻了患者的经济负担,是一种适合基层医院,相对理想的腹股沟疝修补方法 。

改进无张力疝修补术治疗腹外疝的临床价值

目的探讨改进无张力疝修补术治疗腹外疝的临床价值。方法选取我院收治的72例腹外疝患者,按随机投掷法将其分为参照组和研究组,每组36例。参照组实施传统疝修补术,研究组实施改进无张力疝修补术。比较两组患者的手术相关指标、术后疼痛情况、并发症发生情况及复发率。结果研究组的手术时间、肠鸣音恢复时间及下床活动时间短于参照组,术中出血量少于参照组(P<0.05)。研究组术后重度疼痛患者占比低于参照组(P<0.05)。研究组的并发症总发生率为8.33%,低于参照组的27.78%(P<0.05)。研究组的复发率为2.78%,低于参照组的16.67%(P<0.05)。结论改进无张力疝修补术治疗腹外疝患者具有较高的临床价值,可有效减轻疼痛,降低术后并发症发生率及复发率。