3D补片结合医用胶粘合固定技术在腹腔镜腹股沟疝修补术中的应用  

Application of 3D patch combined medical glue patch in intrsperitoneal preperitoneal technique

作　　者：蒋小华[1] 李俊生[1] 嵇振岭[1] 

机构地区：[1]东南大学附属中大医院普外科东南大学微创外科研究所,南京210009

出　　处：《中华疝和腹壁外科杂志（电子版）》2013年第1期63-65,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨应用3D补片结合医用胶粘合固定技术在经腹腔腹膜前修补术(TAPP)的疗效。方法 2009年5月至2012年2月,对96例腹股沟疝患者行TAPP术,应用3D补片修补,并用医用胶粘合固定补片,观察分析术后并发症及复发情况。结果本组患者手术时间,单侧40～140min,平均70min;双侧70～180min,平均110min。术后住院时间3～7d,平均3.5d,无严重并发症发生,最常见的并发症为血清肿,7例(7.3%)。术后随访3～36个月,无复发。结论 TAPP术中使用3D补片结合医用胶粘合固定技术操作方便,安全可靠,术后并发症少,复发率低。Objective To explore the effectiveness of 3D fixed patch combined with medical glue patch by the intraperitoneal preperitoneal technique （TAPP）. Methods A total of 96 patients with inguinal hernia had TAPP surgery using fixed patch combined with medical glue patch by the TAPP technique. Then the postoperative complications and recurrence were investigated. Results The unilateral side of surgical time was 40 to 140 minutes with a mean of 70 minutes. The bilateral time lasted 70 to 180 minutes with a mean of 110 minutes. The postoperative hospital stay was 3 to 7 days （mean ：3.5 days） without any serious complications. The common complication was seroma （7 cases,7.3% ） with a follow-up of 3 to 36 months. No recurrence was found. Conclusions 3D fixed patch combined with medical glue patch in the TAPP technique was practical, safe, and reliable with less complication and low rate of recurrence.

关 键 词：疝 腹股沟 腹腔镜 疝修补术 

分 类 号：R656.2[医药卫生—外科学]