摘要
目的探讨经腹腔腹膜前腹股沟疝修补手术在复发性腹股沟疝修补的临床治疗效果。方法通过随访、回顾分析2009年3月～2012年3月笔者所在医院采用腹腹膜前疝修补术治疗复发性腹股沟疝的临床资料共19例,从手术时间、住院天数、术后并发症等方面分析TAPP在修复复发性腹股沟疝治疗中的临床效果。结果手术均获成功,无中转手术。手术时间(75.4±15.6)min,住院时间(5.2±1.8)d,发生手术并发症4例,经对症治疗均在1周内消失,最长随访3年,无一例复发。结论腹腔镜经腹膜腹股沟斜疝无张力修补手术对于复发性腹股沟疝的治疗具有明显优势,避免了在手术瘢痕处的再手术,减少并发症的出现几率,同时减少了复发性腹股沟疝的再复发率,腹腔镜经腹膜腹股沟斜疝无张力修补手术在修复复发性腹股沟疝的治疗中值得推广。
Objective To explore the clinical effects of transabdominal preperitoneal for recurrent inguinal hernias.Methods A retrospective analysis was carried out in 19 cases of TAPP for recurrent inguinal hernia in our hospital from March 2009 to March 2012.On average operating time,recurrence rate and the cost of operation material were analyzed.Results All the operations of TAPP were successfully performed without conversion to other operations.The average operating time was （75.4±15.6）min,the mean hospital stay was （5.2±1.8） days.The complications were inguinal seromas which occurred in 4 cases and were removed within one week.All the cases had not relapsed.Conclusion TAPP have many advantages in treating recurrent inguinal hernia,because it has a quicker recovery,fewer complications,more secure and practical operation method,worth clinical popularization.
出处
《中国医药科学》
2012年第20期224-225,共2页
China Medicine And Pharmacy
