无需重建疝囊的无张力修补腹股沟滑动疝手术方式  

The new operation method which Mesh tension free repair of sliding hernia without rebuilding hernial sac

作　　者：李辉[1] 

机构地区：[1]福建医科大学附属漳州市医院,福建漳州363000

出　　处：《中国中医药咨讯》2011年第18期50-51,共2页

摘　　要：目的：探讨腹股沟滑动疝新的手术方式，即无需重建疝囊的无张力修补腹股沟滑动疝。方法回顾分析2009—2010年腹股沟滑动疝手术6例，其中2例巨大腹股沟滑动疝患者均因较长肠管及其相应肠系膜构成疝囊壁的大部，而难以分离，无法按照腹股沟滑动疝的经典手术方式即剥离滑动脏器、继而重建疝囊后再行疝修补；而是无需剥离滑动脏器，直接经内环还纳疝囊及其内容物后，补片无张力修补。结果1例术后因大量疝内容物还纳后腹腔高压，膈肌上抬，以致呼吸功能不全，间歇呼吸机辅助呼吸约2个月；2例术后至今均未复发，手术效果满意。结论无需重建疝囊的无张力修补腹股沟滑动疝，是一种简易有效的手术方式。Objective： Investigate the new operation method, mesh tension free repair of sliding hernia without rebuilding hernial sac.Methods The clinical data of 6 patients with sliding hernia were analyzed from 2009 to 2010. Two of them with giant hernial sac, comprising of too long intestinal canal and mesentery, hard to separate and impossible repairing using classic method which dissecting sliding organ, rebuilding hernial sac and repairing. We using a modified method without dissecting sliding organ, but directly retracing hernial sac and content, and mesh tension free repaired.Results Because of peritoneal cavity hypertension, 1 case developed diaphragma raising, respiratory insufficiency, interval ventilatory support by respirator for 2 monthes .There is no recurrence,with satisfaction operation.Conclusion Mesh tension free repair of sliding hernia without rebuilding hernial sac is facility and effective method.

关 键 词：滑动疝 修补术 无需重建疝囊 

分 类 号：R656.21[医药卫生—外科学]