摘要
目的探讨腹腔镜全腹膜外疝修补术的临床效果。方法自2003年5月至2008年10月应用腹腔镜全腹膜外疝修补术治疗108例腹股沟疝患者，观察其手术时间、伤口疼痛情况、术后自主功能的恢复情况、并发症的发生率及复发率。结果105例患者均成功施行腹腔镜全腹膜外疝修补术，3例中转开放手术。单侧疝手术时间55～110min，双侧疝手术时间90～140min。术中出血15，60ml，术后阴囊气肿5例，阴囊血清肿4例，术后3—5天出院，术后随访2～50个月无复发病例。随访患者中无远期不适感。结论腹腔镜全腹膜外疝修补术安全，并发症发生率低，复发率低。
Objective To investigate the clinical value of laparoscopic totally extraperitioneal inguinal hernia repair. Methods One hundred and eight patients who suffered from inguinal hernia were treated with laparoscopic totally extraperitioneal inguinal hernia repair. The operation time, wound pain, postoperative recovery of independent function, complications and recurrence rate were studied. Results One hundred and five cases of inguinal hernia were performed the operation successfully, while three cases were converted to open surgery. The operating time was 55 - 110 minutes for unilateral hernioplasty, and 90-140 minutes for bilateral hernioplasty. Losing blood volume was 15-60 ml. Postoperative complications include 5 cases of hematoma of scrotum and 4 cases of seroma of scrotum. The average postoperative stay was 3 -5 days. The follow-up period ranged from 2 to 50 months and no recurrence was observed. None of the follow-up patients complained long-term discomfort. Conclusions Laparoseopic totally extraperitioneal inguinal hernia repair is safe with less complications, low recurrence rate and excellent therapeutic effect.
出处
《国际医药卫生导报》
2009年第12期30-32,共3页
International Medicine and Health Guidance News
