中国实用外科杂志

中国实用外科杂志

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腹股沟疝无张力修补术后并发症18例原因分析及处理

马    锐，杨福全，张    顺，王    鑫，王泽平，吴凯锴，赵文嫣，刘金钢   

  1. 中国医科大学附属盛京医院普通外科，辽宁沈阳110004
  • 发布日期:2012-05-28

  • Published:2012-05-28

摘要：

目的    探讨腹股沟疝无张力修补术后的并发症及处理。 方法    回顾性分析中国医科大学附属盛京医院2005年6月至2011年12月行腹股沟疝无张力修补术后发生18例并发症的临床资料。 结果    无张力修补术后复发8例，其中1例为腹股沟疝修补（TEP），1例网塞修补，1例Lichtenstein修补，5例腹膜前间隙置入补片修补。3例感染病人中2例为补片感染，1例为缝线感染。2例疼痛病人中1例为网塞修补，1例为聚丙烯平片Lichtenstein修补。2例术后出现严重的阴囊血清肿。1例术后出现切口下血肿。1例行TEP术后出现阴囊血肿。1例术后出现肠梗阻。 结论    虽然腹股沟疝无张力修补术较传统修补术并发症发生率低，但仍需注重提高临床医生的技术水平及规范化操作，降低并发症发生率。

关键词: 腹股沟疝, 无张力修补术, 并发症

Abstract:

The causes analysis and management of the complications after tension free inguinal hernia repair        MA Rui, YANG  Fu-quan, Zhang Shun, et al. Department of General Surgery, Shengjing Hospital, China Medical University, Shenyang 110004, China
Corresponding author: YANG Fu-quan, E-mail: yangfq@sj-hospital.org.
Abstract    Objective    To investigate the causes and treatment of complications after tension-free inguinal hernia repair. Methods    The clinical data of 18 patients with complications of tension-free inguinal hernia repair who underwent treatment between June 2005 and December 2011 at Shengjing Hospital, China Medical University were investigated retrospectively. Results    Among all patients, 8 patients recurred including 1 patient performed TEP method repair, 1 patient used mesh plug, 1 patient performed Lichtenstein repair and 5 patients performed preperitoneal repair. Three patients with infection included 2 patients with the patch infection and 1 patient with the suture infection. Two patients with pain included 1 patient performed mesh-plug repair and 1 patient performed Lichtenstein repair with polypropylene. Two patients had severe scrotal seroma. One patient had wound hematoma. One patient had scrotal hematoma after TEP. One patient had intestinal obstruction.  Conclusion    Complications of tension-free inguinal hernia repair are less than the traditional repair, but to improve surgeon’s technique and standard operation for the low complication incidence are still significant.

Key words: inguinal hernia, tension-free repair, complication