应用三维立体补片行免固定经腹腔腹膜前疝修补术初探  

Laparoscopic inguinal hernia repair using an anatomically contoured three-dimensional mesh without fixation

作　　者：张伟国[1] 安伟德[1] 邓中慧[1] 

机构地区：[1]大连医科大学附属第一医院,大连116011

出　　处：《中华疝和腹壁外科杂志（电子版）》2013年第3期59-61,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的总结应用三维立体补片行免固定经腹腔腹膜前疝修补术(TAPP)的经验、技巧及体会。方法回顾性分析大连医科大学附属第一医院2009年7月至2012年1月应用三维立体补片行免固定经腹腔腹膜前疝修补术47例(56侧)患者。结果全部手术均获成功,单侧疝手术时间28～85min,双侧疝手术时间38～98min,术后3周96%患者恢复正常活动,57%恢复运动。发生阴囊血清肿3例,轻度疼痛1例,肠梗阻1例。随访6～28个月,复发1例。结论应用三维立体补片行免固定经腹腔腹膜前补片植入术安全可靠,操作简便易行,恢复时间短,并发症发生率低,但存在补片移位的风险。Objective To summarize the experience and skills of laparoscopic transabdominal preperitoneal hernia repair （TAPP） using three-dimensional mesh without any fixation. Methods A total of 47 patients with inguinal hernia repair from the First Hospital Affiliated to Dalian Medical University from July 2009 to January 2012 were retrospectively analysed by using 3DMax mesh without any fixation. Results The operation for all patients was performed successfully under the laparoscope, in which 47 patients with the 56 cases of laparoscopic TAPP surgery. The operating time lasted 28 to 85 minutes for unilateral hernioplasty, and 38 to 98 minutes for bilateral hernioplasty. About 96% of the patients recovered to normal activities and 57% of the patients restored movement after three weeks, Only 3 case of scrotal serum swell were collected after operation, 1 case with minor pain, and 1 case with small bowel obstruction. Only 1 case of recurrence was found in a follow-up that lasted 6 to 28 months. Conclusions It is safe, reliable and simple for TAPP by using three-dimensional mesh with shorter recovery time and low complication rate, but the risk of mesh shift. No fixation was observed.

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]