成人腹股沟复发疝无张力修补术136例体会  

The experience of 136 cases of adult inguinal hernia recurrence-free hernia repair

作　　者：阮应东[1] 汪全新[1] 李克剑[1] 刘红玲[1] 李保勤[1] 

机构地区：[1]红安县人民医院外一科,湖北438400

出　　处：《腹部外科》2009年第3期149-150,共2页Journal of Abdominal Surgery

摘　　要：目的总结采用国产平片、网塞、善愈补片等修补成人腹股沟复发疝的临床经验和方法,探讨成人腹股沟复发疝的无张力修补术的"区域化"、"个体化"手术方法。方法回顾性分析我院2001年12月至2008年12月间136例成人腹股沟复发疝的手术方法、围手术期处理、术后并发症等资料。结果136例中除1例术后半年复发再次手术成功外,其余均一次手术成功。结论对于成人腹股沟复发疝应根据每位病人局部复发疝的解剖特点,选择不同修补材料,应用"个体化"修补方法,可以取得满意疗效。Objective To summarize the clinical experience and methods of mesh-plug and poly- propylene hernia system tension-free hernioplasty in order to explore the ＂regionalization＂ and ＂indi- vidualized＂ methods of tension-free hernia repair to adult inguinal hernia recurrence. Methods The clinical data of 136 adult patients with recurrent hernia receiving tension-free hernioplasty from Dec. 2001 to Dec. 2008 were retrospectively analyzed. Results In all 136 cases,only 1 case of postoperative recurrence at 6th month received re-operation. Conclusion For adult inguinal hernia recurrence, individualized method is necessary to achieve a satisfactory effect.

关 键 词：疝 腹股沟 成年人 复发 

分 类 号：R656.21[医药卫生—外科学] R733.7[医药卫生—临床医学]