摘要
目的探讨腹腔镜下使用自体组织修复和加强腹股沟管后壁治疗成人腹股沟疝的可行性。方法2001年1月~2007年9月,选用脐正中襞,脐内、外侧襞,U形皱襞等自体组织,应用腹腔镜三孔法的单人双手操作腔内缝合技术,修补成人腹股沟疝173例(斜疝141例,直疝28例,股疝3例,闭孔疝1例)。结果本组173例均在腹腔镜下完成手术,无中转开放。152例单侧疝手术时间平均25min(10~40min),21例双侧疝手术时间平均40min(20~60min)。并发症包括腹膜后血肿1例,阴囊肿胀3例,鞘膜积液1例,腹股沟区淤血2例,阴囊炎1例。随访时间1~84个月,平均35个月,复发3例。结论腹腔镜下使用自体组织修补成人腹股沟疝的术式是安全可行的,创伤小,恢复快,复发率低。
Objective To explore the feasibility of repairing and strengthening the posterior wall of the inguinal canal with laparoscopic hernioplasty using autologous anterior abdominal wall tissues.Methods From January 2001 to September 2007,173 adult patients with inguinal hernia(141 cases of indirect hernia,28 cases of direct hernia,3 cases of femoral hernia,and 1 case of obturator hernia)were treated by laparoscopic hernioplasty with autologous tissues obtained from the median,internal,and lateral umbilical folds...
出处
《中国微创外科杂志》
CSCD
2008年第5期401-404,共4页
Chinese Journal of Minimally Invasive Surgery
关键词
腹股沟疝
成人疝
腹腔镜
自体组织
疝修补术
Inguinal hernia
Adult hernia
Laparoscopy
Autologous tissue
Hernioplasty
