巴德3DMAX补片免钉合技术在腹股沟疝TAPP中的应用  

Transabdominal preperitonal approach to inguinal hernia repair using Bard 3DMax mesh without fixation

作　　者：王东[1] 陈晓鹏[1] 崔巍[1] 张卫东[1] 丁守勇[1] 

机构地区：[1]皖南医学院附属弋矶山医院肝胆外科,安徽芜湖241001

出　　处：《皖南医学院学报》2014年第6期496-498,共3页Journal of Wannan Medical College

摘　　要：目的:观察巴德3DMAX补片免钉合在经腹腔腹膜前疝修补术(TAPP)中的疗效。方法:选择同时期内70例腹股沟疝患者,随机分为实验组(n=35)和对照组(n=35),实验组予3D MAX补片免钉合腹腔镜疝修补术(TAPP),对照组予传统无张力疝环填充术。对两组手术时间、住院时间、术后下床时间、术后疼痛指数、术后并发症、复发率等进行比较。结果:两组患者手术均顺利完成,实验组无一例中转开腹,与对照组相比,术后下床时间和住院时间明显缩短,术后基本无疼痛,并发症,复发率低。而手术时间上,实验组长于对照组(P<0.05)。结论:巴德3D MAX补片免钉合TAPP术治疗腹股沟疝是一种微创、安全、简单的疝修补术,可以作为常规的疝修补方式之一。Objective：To observe the clinical outcomes of laparoscopic transabdominal preperitoneal（TAPP） approach to repair of inguinal hernia using Bard 3DMax mesh without fixation.Methods：Seventy consecutive patients with inguinal hernia were randomly allocated to experimental group （n =35） and control group （n=35）.The experimental group underwent laparoscopic TAPP using 3D Max mesh without fixation,and the control group were treated with conventional tension-free hernia repair.Two groups were compared regarding the operation duration,length of hospital stay,off-bed activities after op-eration,postoperative pain index,and complications as well as recurrence rate.Results：The operation was successfully completed in the two groups.The ex-perimental group required no conversion to laparotomy,and had early return to usual activities,shortened hospital stay,less postoperative pain and compli-cations as well as lower recurrence rate.However,the experimental group had longer operative time（P〈0.05）.Conclusion：Laparoscopic TAPP approach to repair of inguinal hernia using Bard 3DMax mesh can be minimally invasive,safe and simple in placement.

关 键 词：巴德3DMAX补片 腹股沟疝 腹腔镜疝修补术 

分 类 号：R656.2[医药卫生—外科学]