非3D补片免固定腹腔镜腹股沟疝修补术167例分析  

Laparoscopic inguinal hernia repair with nonfixation of the non-3D mesh for 167 patients

作　　者：宗华[1] 潘凯 李红春[1] 钱福永[1] 陶红光[1] 秦杰[1] 

机构地区：[1]深圳市第三人民医院普外科,518000 [2]深圳市人民医院胃肠外科

出　　处：《中华腔镜外科杂志（电子版）》2015年第3期50-53,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨非3D补片免固定方式在腹腔镜腹股沟疝完全腹膜外修补术中的应用价值及注意事项。方法回顾性分析2011年3月至2014年9月167例腹腔镜腹股沟疝完全腹膜外修补手术患者的临床资料,术中采用免固定方式放置非3D补片,统计术后复发率、术后血清肿、感觉异常等并发症发生率。结果本研究167例腹股沟疝患者顺利完成手术,术后复发率0.60%,血清肿发生率2.99%,暂时性神经感觉异常发生率6.59%,尿潴留发生率2.99%,阴囊血肿发生率0.60%,无慢性疼痛等其他并发症。结论在腹腔镜腹股沟疝完全腹膜外修补术中,采用免固定方式放置非3D补片是可行的可靠的;术中需注意腹膜外空间充分分离、术中彻底止血、大补片应用等问题。Objective To summarize the clinical experiences and effects of laparoscopic total extraperitoneal repair（ TEP） performed without fixation of the non-3D mesh. Methods A retrospective analysis was conducted over Mar. 2011 to Sep. 2014 for 167 patients who had under TEP. The recurrence rate,seroma formation,temporary incidence of nerve paresthesia,urinary retention rates,scrotal hematoma,and chronic pain were noted. Results All the patients were performed successfully. The follow-up period ranged from 2 months to 43 months. One patient（ 0. 60%） had recurrence,five patients（ 2. 99%） suffered seroma formation,one patient（ 0. 6%） suffered scrotal hematoma,eleven patients（ 6. 59%） had temporary incidence of nerve paresthesia,five patients（ 2. 99%） suffered urinary retention. None patient had chronic pain and other complications. Conclusions This found TEP without non-3D mesh fixation to be safe and feasible. What have to be noted is fully separating extraperitoneal space,completely bleeding controlling,more bigger mesh,et.

关 键 词：腹腔镜 腹股沟疝 补片固定 完全腹膜外修补 

分 类 号：R656.21[医药卫生—外科学]