摘要
目的评价无张力疝修补术放置引流管的必要性。方法从2008年8月到2009年9月,93位腹股沟疝患者,在我中心行无张力疝修补术。对巨大复发疝、有凝血功能障碍或手术中创面出血较多的患者共5例,予术中放置引流管。引流管置于补片的上方或远端疝囊。结果手术后第1天拔除引流管的有3例;术后第2天拔除引流管1例,术后第5天拔除引流管1例。93例无张力疝修补术患者,无1例发生切口或阴囊血肿。5例放置引流管的患者,切口均一期愈合,近期无疝复发。结论无张力疝修补术中选择性放置引流管,不影响创面愈合以及疝修补的效果,并可减少血肿形成的可能。
Objective To assess the necessity of tube drainage used in the tension- free hernioplasty for inguinal hernia. Methods From August 2008 to September 2009, an entire 93 patients with groin hernia underwent tension - free hernioplasty in our center. The drainage tube was employed as the patient presented a large recurrent hernia, or abnormal coagulating function, or unsatisfied bleeding control. Five patients received the drainage tube. The distal end of the tube was placed just above the mesh or inserted into the distal hernia sac. Results The drainage tube was removed in 3 patients on postoperative day 1, in 1 patient on postoperative day 2, and in 1 patient on postoperative day 5. No wound hematoma or scrotal hematoma occurred in our series. The patients who received tube drainage had normal wound healing. No recurrence of hernia was documented during the short period of follow-up. Conclusions The drainage tube used in the tension -free hernioplasty did not influence the wound healing and outcome of hernia repair, meanwhile it is helpful to diminish the development of wound and scrotal hematoma.
出处
《中华疝和腹壁外科杂志（电子版）》
2010年第1期28-30,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
无张力疝修补术
血肿
引流术
Hernia, inguinal
Tension-free hernioplasty
Hematoma
Drainage
