应用Kugel补片进行腹膜前修补腹股沟复发疝  

Open preperitoneal hernia repair with the Kugel patch for recurrent inguinal hernia

作　　者：陈燕昌[1] 黄鹤光[1] 陆逢春[1] 林贤超[1] 林荣贵[1] 洪登科[1] 

机构地区：[1]福建医科大学附属协和医院普外科,福州350001

出　　处：《国际外科学杂志》2009年第12期819-821,共3页International Journal of Surgery

摘　　要：目的探讨Kugel补片开放式腹膜前修补腹股沟复发疝的临床疗效。方法回顾性分析2005年1月～2009年6月福建医科大学附属协和医院应用Kugel补片开放式腹膜前置入治疗65例77侧腹股沟复发疝的临床资料。结果单侧手术时间40～150min，平均（76．5±20．4）min。术后切口疼痛轻，无切口感染。并发尿潴留4例、腹股沟区浆液肿6例、皮下血肿2例、阴囊积液3例，随访3～54个月，未发现明显异物感或腹股沟区慢性疼痛，无再复发疝。结论开放式腹膜前放置Kugel补片治疗成人腹股沟复发疝具是合理性和可行性。Objective To evaluate clinical application of Kugel patch in treating recurrent inguinal hernia. Methods The clinical data of 65 patients with 77 sides recurrent inguinal hernia performed open preperitoneal inguinal hernia repairs from January 2005 to June 2009 were analyzed retrospectively. Kugel hernia patches were used in the operations. Results The operating time for unilateral hernia expended 40 - 150 （76. 5± 20. 4） min. Postoperative pain was minimal and no incision infection appeared. The postopera- tive complications were 4 cases of uroschesis,6 cases of inguinoscrotal scroma, 2 cases of inguinoscrotal hematoma and 3 cases of scrotal hydrops. No serious complications such as sensation of foreign body, inguinal chronic pain and recurrence were observed during the follow-up of 3 to 54 months. Conclusions Open preperitoneal hernia repair with Kugel patch for adult recurrent inguinal hernia reparation is rational and feasible.

关 键 词：腹股沟疝 复发性 KUGEL补片 无张力疝修补术 

分 类 号：R656.21[医药卫生—外科学] R656.210.5[医药卫生—临床医学]