平片无张力疝修补术后再手术16例  

Sixteen cases of re-operation after tension-free hernia repair

作　　者：赵言明 闫树勋 李永明 

机构地区：[1]解放军第91中心医院,河南焦作454003

出　　处：《中国当代医药》2013年第7期176-177,共2页China Modern Medicine

摘　　要：目的探讨平片无张力疝修补术后疝复发或感染的原因及预防策略。方法分析本院2002年3月～2011年10月收治的平片无张力疝修补术后再手术的16例患者疝复发或感染的原因。结果平片无张力疝修补术后复发主要是再造内环口过大8例，补片过小5例；手术发现补片固定线为不吸收编织线，线结粗大3例，可能是导致感染的原因之一。结论为避免无张力腹股沟疝修补术后复发或感染，手术医生要充分理解无张力疝修补术的原理，提高手术技术水平，采取多种措施预防补片术后感染。Objective To investigate the causes of hernia recurrence or infection and prevention strategies of hernia recurrence or infection after tension-free hernia repair. Methods Cause of hernia recurrence or mesh infection of 16 cases of re-operation after tension-free hernia repair was analysed in ours hospital in March 2002 to October 2011. Results Cause of tension-free hernioplasty recurrence after primary operation 8 cases reconstruction of internal ring was too large, 5 cases patch was too small. Patch fixed line as absorption braided line and line node thick may be one cause of 3 cases mesh infection. Conclusion In order to avoid the hernia recurrence or mesh infection, the doctor should fully understand the principle of tension free hernia repair operation, improve the technical level, adopt a variety of measures to prevent patch from postoperative infection.

关 键 词：腹股沟疝 平片 再手术 感染 

分 类 号：R656.2[医药卫生—外科学]