Abstract:

Analysis of the causes of postoperative complications after inguinal hernia repair and treatment experience                WANG Xue-hu，ZHAO Yu. Department of Vascular Surgery，the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Correspongding author: ZHAO Yu, E-mail：820994765@qq.com
Abstract    the operation of tension-free hernia repair is the main method for inguinal hernia. The procedure can reduce the recurrence rate, but at the same time it also result in new problems which bother surgeon much more at present. The complications include infection, pain, seroma, hematoma, recurrence, abdominal compartment syndrome and so on. The complications of mesh infection, pain and the recurrence are more common. These complications have the relation with the preoperative assessment, intraoperative operation, repairing methods, the materials and postoperative follow-up. According to those reason, the prevention  treatment of the complications require enough preoperative assessment, intraoperative standard operating, as well as early detection and treatment.

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

摘要：

无张力疝修补术是目前腹股沟疝修补的主要方式，这种方式虽然降低了复发率，但随之而来的并发症成为目前困扰外科医生的新问题。并发症主要包括感染、疼痛、血清肿形成、血肿、复发、尿潴留、肠粘连、肠瘘、阴囊肿胀等。其中难以治愈的补片感染、无法缓解的疼痛、复发较常见。这些并发症的发生与术前评估、术中操作、修补方式、材料的选择以及术后的后续治疗均有关系。因此预防处理这些并发症需要充分的术前评估、规范的术中操作，以及并发症的早期发现和处理。

关键词: 腹股沟疝, 无张力疝修补术, 并发症, 感染, 疼痛