腹股沟复发疝104例开放式手术治疗体会  

Experience of open surgical treatment in 104 cases with recurrent inguinal hernia

作　　者：李伟杰[1] 陈健民[1] 王殿琛[1] 陈亚柯[1] 韩雨倩[1] 张红月[1] 

机构地区：[1]郑州大学第一附属医院疝和腹壁外科,450052

出　　处：《中华疝和腹壁外科杂志（电子版）》2015年第6期7-9,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨腹股沟复发疝的原因及治疗方法。方法回顾性分析2012年1月至2014年6月,郑州大学第一附属医院收治的104例腹股沟复发疝患者的临床资料。结果本组104例再次实施无张力疝修补术,其中68例行单纯疝环补片修补,28例行常规无张力修补,8例行Stoppa方法修补。均痊愈出院,无切口感染。术后随访0.5~2.5年,无复发患者。结论腹股沟疝传统式修补复发的主要原因是不同组织间的张力性缝合;无张力修补复发的主要原因是手术操作不规范,疝补片选择及放置不当。再次开放式无张力修补是治疗复发疝的主要有效措施,应遵循个体化治疗原则,选择单纯疝环补片修补、常规无张力修补、Stoppa式修补等不同的手术方法。Objective To explore the causes and treatment of recurrent inguinal hernia.Methods We analyzed the clinical data of 104 patients with recurrent inguinal hernia retrospectively,from January 2012 to June 2014,in the first Affiliated Hospital of Zhengzhou University. Results All cases were performed with re-operation of tension-free repair,including 68 cases of simple hernia ring mesh repair,28 cases of conventional tension-free repair,and 8 cases of Stoppa repair. All patients were discharged without wound infection. All patients were followed up for 0. 5 to 2. 5 years,and no recurrence occurred. Conclusion The main reason for recurrence of traditional inguinal hernia repair is the tension of suture between different tissues; the main causes for recurrence of tension-free repair are irrational operation,improper mesh selection and inappropriate mesh placement. Open tension-free repair is the main effective treatment for recurrent hernia. All procedures,which can be selected,such as simple hernia ring mesh repair,conventional tensionfree repair and Stoppa repair,should follow the principle of individual treatment.

关 键 词：疝 腹股沟 复发 

分 类 号：R656.21[医药卫生—外科学]