【摘要】 目的分析总结腹股沟疝术后复发的原因,探讨腹腔镜腹膜前补片修补术(transabdominal approach with stapledpreperitoned mesh repair,TAPP)治疗复发性腹股沟疝的临床应用价值。方法回顾性分析我院1998年6月~2003年10月收治24例腹股沟复发疝进行TAPP的临床资料,其中直疝11例,斜疝13例。结果24例手术全部成功,无中转开放手术。手术时间47~128min,平均69min,术后住院2~5d,平均3d。术后6例出现尿潴留,留置尿管1~3d后拔除,无切口感染、阴囊血肿、积气等并发症。24例随访2个月~5年6个月,平均2年3个月,无一例复发。结论腹腔镜行复发性腹股沟疝TAPP修补术创伤小,并发症少,是治疗复发性腹股沟疝安全、可靠的手术方法。更多还原

【Abstract】 Objective To analyze reasons of postoperat iv e relapse of inguinal hernia and to explore the clinical significance of laparos copic transabdominal preperitoneal (TAPP) repair for recurrent hernia. Methods We retrospectively analyzed clinical data of 24 cases of recurr ent inguinal hernia treated by laparoscopic TAPP repair from June 1998 to Octobe r 2003 in this hospital. There were 11 cases of direct hernia and 13 cases of in direct hernia. Results Operations were completed successfully in all the 24 cases without conversions to open surgery. The operation time was 47~128 min (mean, 69 min), and the postoperative hospital stay, 2~5 days (mean, 3 days). Urinary retention happened in 6 cases after the operation, in which a F oley urethral catheter was indwelled for 1~3 days. There were no complications s uch as wound infection, scrotal hematoma or pneumatosis. Follow-up checkups were made for 2~66 months (mean, 27 months) in all the 24 cases. No recurrence was o bserved. Conclusions Laparoscopic TAPP repair for recurrent in guinal hernia has advantages of minimal invasion and few complications, being a safe and feasible option for treating recurrent inguinal hernia.更多还原