硬化剂注射后腹股沟疝无张力疝修补术  

Tension-free hernia repair after application of local sclerotherapy

作　　者：康俊升[1] 何少武[1] 季风存[1] 吴波[1] 

机构地区：[1]解放军第八十八医院普通外科,山东泰安271000

出　　处：《中华疝和腹壁外科杂志（电子版）》2013年第5期48-49,共2页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨成人腹股沟疝硬化剂局部注射后的无张力疝修补的手术方法及注意事项.方法 回顾性分析2006年8月至2012年8月,解放军第八十八医院对18例曾经接受硬化剂注射的腹股沟疝患者进行腹膜前无张力疝修补术.观察其住院时间、伤口愈合情况、疼痛、复发等一般情况.结果 本研究患者手术时间56~110 min,平均（72±21） min.切口均为甲级愈合.18例患者均获得随访6～24个月,无复发.结论 局部硬化剂注射可致局部粘连而增加手术困难,手术应该在充分麻醉下进行精准游离,切除瘢痕.建议采用腹膜前间隙修补的方式,手术创面应常规放置负压引流.Objective To evaluate the technique and precautions of tension-free herina repair after application of local sclerotherapy in the adult patients with inguinal hernia. Methods A total of 18 cases with inguinal hernia applied with local selerotherapy received pre-peritoneal tension-free hernia repair with polypropylene mesh and plug method from August 2006 to August 2012. Results The operation time was 56 to 110 mins with a mean of （72 ±21） mins. The operations were successful and all the patients recovered, and no recurrence was detected within a follow-up of maximum 2 years. Conclusions Local sclerotherapy may lead to adhesion and the operation will be more difficult, therefore the procedure should include the precise dissociation, the resection of scar tissue, and the repair at the position of pre-peritoneal space under appropriate anesthesia. The suction drainage should be placed in the incision as a standard practice.

关 键 词：疝 腹股沟 疝修补术 硬化溶液 

分 类 号：R656.2[医药卫生—外科学]