摘要
目的探讨改良Kugel补片前入路腹膜前修补腹股沟疝效果。方法2004年5月～2006年6月,应用改良Kugel补片修补腹股沟疝35例。手术要点:疝囊高位游离后将其翻转还纳腹腔,围绕内环口游离一个10cm×10cm的腹膜前间隙,将改良Kugel补片置于游离的腹膜前间隙,用2-0的Prolene线将固定带的上瓣固定于联合腱,下瓣固定在腹股沟韧带反折处。结果手术时间(47±10)min,术后均未使用止痛剂,术后住院天数(6±4)d。全组伤口一期愈合,无伤口浆液肿及感染发生。35例术后随访1～25个月,平均13.2月,其中26例随访>12个月,无复发。结论改良Kugel补片修补腹股沟疝具有伤口疼痛和肿胀轻的优点,特别适合Ⅲ、Ⅳ型疝修补。
Objective To evaluate the effects of anterior approach preperitoneal repair for inguinal hernia with modified Kugel mesh. Methods Clinical data of 35 cases receiving inguinal hernia repair with modified Kugel mesh from May 2004 to June 2006 were reviewed. The critical surgical procedures： the hernial sac was dissected at high position, then reversed and reduced into abdominal cavity; a 10 cm × 10 cm preperitoneal space was dissociated around the internal ring, into which a modified Kugel mesh was placed. The mesh was fixed to the conjoined tendon by superior tape, and to the shelving edge of inguinal ligament by inferior tape. Results The operation time was （47 ± 10） min. No analgesic requirement in any case. The postoperative hospital stay was （6 ±4） days. All the wounds healed uneventfully without any seroma or infection. No recurrent case was found in the follow-up of 1 - 25 months （mean： 13.2 months） in the 35 cases. Conclusions Modified Kugel mesh used in inguinal herniorrhaphy causes less pain and swelling response to the wound, therefore it is quite suitable for repairing Ⅲ and Ⅳtype hernia.
出处
《中国微创外科杂志》
CSCD
2007年第8期787-788,共2页
Chinese Journal of Minimally Invasive Surgery
