腹腔镜下右侧腹股沟斜疝修补术(TAPP)  

Laparoscopic right oblique inguinal hernia repair(TAPP)

作　　者：李涛[1] 陈纲 李世拥 LiTao;Chen Gang;Li Shiyong(Department of General Surgery,The 7th Medical Center of PLA General Hospital,Beijing 100700,China)

机构地区：[1]解放军总医院普通外科医学部派驻第七医学中心普通外科,北京100700

出　　处：《中华普外科手术学杂志（电子版）》2023年第6期598-598,共1页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：于内环口缺损边缘上方约2 cm,自右侧脐内皱壁至右侧髂前上棘弧形切开腹膜,沿腹膜与腹横筋膜之间游离Retzius间隙和Bogros间隙,注意保护膀胱。游离疝囊周围腹横筋膜及包裹精索结构的精索内筋膜,高位离断疝囊,使精索腹壁化8 cm。游离腹膜上切缘约1.0 cm。至此,完成腹膜前间隙游离。经Trocar置入疝补片,完整覆盖耻骨肌孔,使用倒刺线连续缝合关闭腹膜及疝囊裂孔,使用hemo-loc夹固定线尾。About 2 cm above the margin of the defect of the inner circumferential opening,the peritoneum was incised in an arc from the right inner umbilical crease wall to the right anterior superior iliac spine,and the Retzius space and Bogros space were separated from the peritoneum and the transverse fascia of the abdomen to protect the bladder.The abdominal transversal fascia surrounding the hernia sac and the intraperitoneal fascia enclosing the spermatic cord were dissociated from the hernia sac at a high position,and the abdominal wall of the spermatic cord was transformed by 8 cm.The free epigastric margin is about 1.O cm.At this point,the preperitoneal space ionization was completed.The hernia patch was placed through Trocar and completely covered the pubomusculus foramina.The peritoneum and hiatus of the hernia sac were closed by continuous suture with barb wire,and the tail of the line was fixed with hemo-loc clamp.

关 键 词：疝 腹股沟 腹腔镜 经腹腹膜前疝修补术 

分 类 号：R656.21[医药卫生—外科学]