腹腔镜腹膜前补片修补术治疗复发性腹股沟疝24例经验  

Laparoscopic transabdominal preperitoneal repair for recurrent inguinal hernia: Experience of 24 cases

作　　者：朱小林 王存川[2] 何家驹[2] 吴东波[2] 胡友主[2] 

机构地区：[1]重庆垫江县人民医院外二科,垫江408300 [2]广州市暨南大学第一附属医院腹腔镜外科,广州510630

出　　处：《中国微创外科杂志》2005年第9期726-727,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的分析总结腹股沟疝术后复发的原因,探讨腹腔镜腹膜前补片修补术(transabdominal approach with stapled preperitoned mesh repair,TAPP)治疗复发性腹股沟疝的临床应用价值.方法回顾性分析我院1998年6月～2003年10月收治24例腹股沟复发疝进行TAPP的临床资料,其中直疝11例,斜疝13例.结果24例手术全部成功,无中转开放手术.手术时间47～128 min,平均69 min,术后住院2～5 d,平均3 d.术后6例出现尿潴留,留置尿管1～3 d后拔除,无切口感染、阴囊血肿、积气等并发症.24例随访2个月～5年6个月,平均2年3个月,无一例复发.结论腹腔镜行复发性腹股沟疝TAPP修补术创伤小,并发症少,是治疗复发性腹股沟疝安全、可靠的手术方法.Objective To analyze reasons of postoperative relapse of inguinal hernia and to explore the clinical significance of laparoscopic transabdominal preperitoneal （TAPP） repair for recurrent hernia. Methods We retrospectively analyzed clinical data of 24 cases of recurrent inguinal hernia treated by laparoscopic TAPP repair from June 1998 to October 2003 in this hospital. There were 11 cases of direct hernia and 13 cases of indirect hernia. Results Operations were completed successfully in all the 24 cases without conversions to open surgery. The operation time was 47-128 min （mean, 69 min） , and the postoperative hospital stay, 25 days （ mean, 3 days）. Urinary retention happened in 6 cases after the operation, in which a Foley urethral catheter was indwelled for 1-3 days. There were no complications such as wound infection, scrotal hematoma or pneumatosis. Follow-up checkups were made for 2-66 months （ mean, 27 months） in all the 24 cases. No recurrence was observed. Conclusions Laparoscopic TAPP repair for recurrent inguinal hernia has advantages of minimal invasion and few complications, being a safe and feasible option for treating recurrent inguinal hernia.

关 键 词：腹腔镜 复发 腹股沟疝 经腹腔腹膜前补片修补术 

分 类 号：R656.21[医药卫生—外科学]