关键词: 腹股沟疝, 青年, 组织修补, 补片修补, 无张力修补术

Abstract:

The problems of mesh repair and the value of tissue repair in the treatment of groin hernia in young people              LI Hang-yu, WEI Shi-bo. Department of Colorectum & Hernia Surgery, the Fourth Affilianted Hospital of China Medical University, Shenyang 110032, China
Corresponding author: LI Hang-yu, E-mail:li_hangyu@126.com
Abstract    The World Health Organization defines youth as 14 to 25 years old, and the inguinal hernia patients in this age group are still in the development stage of the body with special physiological characteristics and special needs for the protection of reproductive functions. Therefore, the repair method should be carefully selected for the special group and the principle of individualized treatment should be adhered to. The synthetic mesh has problems such as failure to extend with body growth, excessive scar hyperplasia compressing the spermaduct, and long-term invasion. The biological patch also has the risk of long-term recurrence or local bulging. For youth, standard tissue repair surgery can mending the defect well, with reasonable perioperative management, also can minimize the discomfort, which caused by excessive early postoperative tension. At the same time, tissue repair can adapt to the growth of the body, with relatively small impact on reproductive function, or can be combined with biological materials to repair large defects if necessary. After mastering tissue repair technology, the recurrence rate of tissue repair is acceptable. Therefore, tissue repair is of irreplaceable value in the treatment of young inguinal hernia patients.

Key words: inguinal hernia, youth, tissue repair, mesh repair, tension-free hernioplasty