摘要
目的探讨腹股沟疝无张力修补术后复发的原因及防治措施。方法晋中市第一人民医院对2008年1月至2015年1月收治的30例腹股沟疝无张力修补术后复发病例资料,进行回顾性分析,并再次手术。其中采用开放式腹膜前间隙修补21例;采用网塞填充式无张力疝修补术7例;腹腔镜下TAPP手术2例。结果疝囊自耻骨结节外上方脱出7例;疝囊经原疝环口脱出6例;疝囊自网塞边缘脱出8例;补片感染造成复发1例;遗留疝8例。二次术后随访3~36个月均未复发。结论腹股沟疝无张力修补术后的复发原因,有患者个人的因素,更多取决于医源性因素,医师操作技术方面的不足,是造成术后疝复发的最终因素。
Objective To investigate the causes and the prevention of recurrence after tension-free inguinal herniorrhaphy. Methods A total of 30 patients with recurrent inguinal hernia following tension-free hernia repair who were admitted to the first people＇s hospital of Jinzhong between January 2008 and January2015 were analyzed retrospectively. The re-operations were performed in all cases,including 21 cases of open preperitoneal herniorraphy,7 cases of mesh plug repair and 2 cases of TAPP. Results Hernia sac prolapsed from outer-upper pubic tubercle in 7 cases; hernia sac emerged from the original hernia ring in6 cases; Hernia sac appeared from the edge of mesh plug in 8 cases; 1 case of hernia recurrence was caused by mesh infection; missing hernia were found in 8 cases. None had re-recurrence after the re-operations during the follow-up of 3 to 36 months. Conclusion The recurrence after tension-free inguinal herniorrhaphy is not only attributable to personal factors,but more,to the iatrogenic factors. Lack of operation skills is the ultimate factor of recurrence after tension-free inguinal herniorrhaphy.
出处
《中华疝和腹壁外科杂志（电子版）》
2016年第3期189-191,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
疝修补术
复发
Hernia
inguinal
Herniorrhaphy
Recurrence
