摘要
目的探讨腹腔镜腹股沟疝修补术的疗效及可行性。方法 41例47侧腹股沟疝行腹腔镜经腹腹膜前腹股沟疝修补术。其中腹股沟单侧斜疝32例,双侧斜疝5例,单侧腹股沟直疝3例,双侧直疝1例,复发疝3例。结果手术均获成功,手术时间50~120min,术后住院时间2~5(d3.3±0.7)d,未复发。结论腹腔镜疝修补术具有患者康复快、疗效好、复发率低、疼痛轻等优点,安全可行,值得基层医院推广应用。
Objective To evaluate the safety and therapeutic effects of the laparoscopic transabdominal preperitoneal herniorrhaphy for inguinal hernia.Methods 41cases(47 sides) with inguinal herni a were treated by laparoscopic transabdominal preperitoneal herniorrhaphy.There were 37 cases(42 sides)of indirect inguinal hernia and 4 cases(5 sides)of direct inguinal hernia.All of patients were performed with the transabdominal preperitoneal laparoscopic mesh repair of hernia(TAPP).After the sac of hernia was cut of,the mesh was covered on the internal ring of hernia.Results All cases were operated successfully,no case had to convert to open surgery.The operation time was 50~120min(mean 90min).The postoperative hospital stay was 2-5d(mean 3.3±0.7d).No patient had recurrence.Conclusion The laparoscopic transabdominal preperitoneal herniorrhaphy has many advantages,such as quick recovery,better efficacy,minor lesion and lower recurrence rate.It is safe and effective,and worthy to be popularized in grass-roots hospitals.
出处
《当代医学》
2011年第24期72-73,共2页
Contemporary Medicine
关键词
疝
腹股沟
疝修补术
腹腔镜
Hernia
Inguinal
Herniorrhaphy
Laparoscopy