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免气囊分离无钉合完全腹膜外腔镜腹股沟疝修补术41例分析 被引量:2

Totally extraperitoneal endoscopic inguinal hernia repair using an unfixed mesh without a dissection balloon:a report of 41 cases
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摘要 目的探讨免气囊分离无钉合完全腹膜外腔镜腹股沟疝修补术(TEP)的效果。方法2006年8月至2008年8月福建医科大学附属第一医院微创外科对41例腹股沟疝病人行TEP。用镜头替代气囊分离器分离腹膜前间隙,用巴德3D补片无钉合固定。结果41例均在腔镜下顺利完成手术。手术时间28~120min,平均(46±23.6)min,发生腹股沟区血清肿3例,未发生其他并发症。随访3~24个月,无腹股沟疝复发。结论免气囊分离无钉合TEP手术经济、安全可行,具有创伤小、恢复快、疗效可靠、并发症少等优点。 Objective To investigate the effect and the feasibility of totally extraperitoneal (TEP) endoscopic inguinal hernia repair using an unfixed mesh without a dissection balloon. Methods A total of 41 cases of reducible inguinal hernia underwent TEP dissected with the endoscope instead of a dissection balloon using a BARD 3D mesh without fixation from August 2006 to August 2008. Results The operation was successfully accomplished under the endoscopy in all the 41 cases. The operation time was 28-120 rain ( 46±23.6 )rain. After the operation, seroma occurred in 3 cases, and no other complications were found. The patients were followed up for 3-24 months, and no recurrence occurred. Conclusion It is feasible and safe to use an unfixed mesh in the TEP endoscopic inguinal hernia repair with few complications,soon recovery and confirmed efficacy without a dissection balloon.
出处 《中国实用外科杂志》 CSCD 北大核心 2009年第2期162-163,共2页 Chinese Journal of Practical Surgery
关键词 腔镜 腹股沟疝 完全腹膜外 疝修补术 补片 endoscopy inguinal hernia totally extraperitoneal herniorrhaphy mesh
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  • 1Froeling FM, Deprest JA, Ankum WM, et al. Controlled balloon dilatation for laparoscopie extraperitoneal bladder neck suspension in patients with previous abdominal surgery [J]. J Laparoendosc Adv Surg Tech A, 2000,10(1):27-30. 被引量:1
  • 2Gaur DD . The accurate placement of balloon for retroperitoneal dissection by the percutaneous method, ensuring that it expands in the right Diane [ J ]. BJU Int, 1999,84 (9): 1095 - 1096. 被引量:1
  • 3Beattie GC, Kumar S, Nixon SJ .Laparoscopic total extraperitoneal hernia repair: mesh fixation is unnecessary[J]. J Laparoendosc Adv Surg Tech, 2000, 10(4): 71-73. 被引量:1

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