关键词: 腹股沟疝, 青年, 腹腔镜, 无张力疝修补术, 补片

Abstract:

Surgical management strategy of young inguinal hernia patients        YANG Fu-quan. Department of Colorectum & Hernia Surgery, Shengjing Hospital of China Medical University, Shenyang 110004, China
Abstract    The treatment of young inguinal hernia should not only consider the choice of surgical repair methods, reducing the recurrence rate and the complications of operation, but also pay attention to the influence of the operation on the fertility function of the patients. Bassinni or Shouldice hernia repair method is good choice for tapeⅠor Ⅱ inguinal hernia. Tape Ⅲ or recurrence hernia repair recommends tension-free hernia repair. It is best for all tension-free hernia repair method to choose biological mesh. Lichtenstein repair may choose biological mesh and light large pole mesh. Totally extraperatoneal (TEP) or transabdominal preperatoneal (TAPP) in young patients may also choose biological mesh. Huge hernia sac might be traversed and ligated to avoid injuring the spermatic cord vessels and vas deferens.

Key words: inguinal hernia, young patient, laparoscope, tension-free hernia repair, mesh