摘要
目的探讨应用腹腔镜技术在复发性腹股沟疝诊断及治疗中的价值。方法回顾性分析1999年3月至2008年3月应用腹腔镜技术明确诊断并行腹腔镜疝修补术治疗的45例复发性腹股沟疝患者的临床资料。结果45例手术全部成功,无中转开放手术。应用腹腔镜经腹腹膜前补片修补术(TAPP)38例,腹腔镜完全腹膜外补片修补术(TEP)6例,腹腔镜腹腔内补片贴置术(IPOM)1例。术中明确诊断真性复发疝25例,新发疝16例,遗留疝4例。术中发现对侧隐匿疝5例,一并行腹腔镜疝修补术。手术时间30~120 min,平均(60.0±22.5)min,术后住院2~7 d,平均3 d。45例随访1~10年,平均(4.5±3.3)年,无1例再复发。结论应用腹腔镜可以明确复发性腹股沟疝的类型,有助于病因分析及减少再复发率。腹腔镜疝修补术创伤小、恢复快、再复发率低,可作为诊断和治疗复发性腹股沟疝的首选方法。
Objective To explore the value of the application of laparoscopy in the diagnosis and the treatment of recurrent ingunial hernia. Methods The clinical data of 45 cases of recurrent inguinal her- nia admitted between March 1999 and March 2008 were analyzed retrospectively. Diagnosis was clarified and hernia repair operation was accomplished by laparoscopy in all patients. Results Operations were completed successfully in all the 45 cases without converting to open surgery, including 38 TAPP,6 TEP and 1 IPOM. 25 real recurrent hernias, 16 new occurred hernias and 4 left behind ones were diagnosed definitely during the operation. Meanwhile, 5 occult hernias were found and operated with laparoscopy. The operation time was 30 to 120 (mean,60.0± 22.5) min, and the postoperative hospital stay was 2 to 7 (mean,3) d. All of the patients were followed up from 1 to 10years,with the mean time of 4.5±3.3 years after operation , no one was found re-recurrence. Conclusions Applying laparoseopic technical can diagnose the recurrent hernia type definitely and help to analyse etiologies and reduce the re-recurrence rate. Laparoscopic hernio- plasty repair for recurrent inguinal hernia have advantages of minimal invasion , rapid recovery and low recurrent rate, it can be the first option for diagnosing and treating recurrent inguinal hernia.
出处
《中华疝和腹壁外科杂志(电子版)》
2009年第2期12-14,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
腹腔镜
复发
经腹腔腹膜前补片修补术
完全腹膜外补片修补术
Hernia, inguinal
Laparoscopy
Recurrence
Transabdominal preperitoneal approach
Totally extraperitoneal approach