摘要
【目的】探讨无张力腹股沟疝修补术后复发的原因、治疗及预防。【方法】对4年来因腹股沟疝无张力修补术后复发的15例患者的资料进行回顾性分析其原因，探讨预防的方法及对复发疝的治疗。【结果】15例患者，复发原因为无张力修补术后疝内环口与充填之网塞间隙过大2例；充填之网塞未能固定在疝环口周围的致密坚韧组织上复发3例；网塞缝合固定，但网片未固定3例；因网片过小复发2例；网片卷曲移位3例；网片精索孔过大2例。【结论】无张力腹股沟疝修补术后复发疝的原因主要是术中对网片和网塞的置入和固定不当所致，治疗仍采取无张力腹股沟疝修补术。
[Objective]To explore the causes, treatment and prevention of the recurrence of hernia after tension-free inguinal herniorrhaphy. [Methods]The data of 15 cases of recurrence of hernia after tension-free inguinal herniorrhaphy were analyzed retrospectively. The causes were analyzed and the method of prevention and treatment of recurrent hernia were discussed. [Results] The causes of recurrence of 15 cases included too large interstice between inner ring of postoperative hernia and filling mesh plug in 2 cases, recurrence of compact and tough tissue with filling mesh plug unfixed around hernia ring in 3 cases, suture fixation of mesh plug but unfixation of mesh in 3 cases, too small mesh in 2 cases, mesh coil and migration in 3 cases and toQ large hole of mesh spermatie cord in 2 cases. [Conclusionl The main causes of recurrent hernia after tension-free inguinal herniorrhaphy are incorrect insertion and fixation of mesh plug. Tension-free inguinal herniorrhaphy can be still used for treating the recurrent hernia.
出处
《医学临床研究》
CAS
2011年第7期1342-1343,共2页
Journal of Clinical Research
