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腹腔镜无张力修补联合疝囊高位结扎术治疗腹股沟疝20例报道

Laparoscopically inguinal hernia repair with high site ligation of hernial sac: a report of 20 cases

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【作者】 徐巍冯泽荣秦希成吴东波邓洪强刘杨桦何纯刚刘超李林德

【Author】 XU Wei;FENG Ze-rong;QIN Xi-cheng;Department of Laparoendoscopic Surgery,Center for Abdominal Wall Hernia,the People’s Hospital of Guangxi Zhuang Autonomous Region;

【机构】 广西壮族自治区人民医院疝与腹壁外科腔镜治疗中心

【摘要】 目的探索一种新的方法以降低成人腹股沟疝术后腹股沟区血清肿的发生率。方法回顾性分析该中心2015-06~2015-11收治的20例单侧腹股沟疝患者行腹腔镜无张力修补联合疝囊高位结扎术的病例资料。结果所有患者手术顺利,术后无血清肿发生。随访1~4个月,无睾丸鞘膜积液或精索鞘膜积液发生。结论腹腔镜无张力修补联合疝囊高位结扎术治疗腹股沟疝可能会解决术后血清肿并发症问题,尚需要大样本、更长时间的随访来论证其可行性、安全性和有效性。

【Abstract】 Objective To explore a method of reducing the complications of inguinal seroma after the surgery of inguinal hernia repair. Methods Retrospective analysis was made on the clinical data of 20 cases who were treated by laparoscopically inguinal hernia repair with high site ligation of hernial sac. Results All the operations were performed successfully on the patients. Seroma and hydrocele of tunica vaginalis were not found with a follow-up of 1 to4 months. Conclusion High site ligation of hernial sac in laparoscopically inguinal hernia repair may be a good way to reduce the complications of seroma after inguinal hernia repair. However more data and a longer following-up are needed to prove its feasibility,safety and effectiveness.

【基金】 广西医疗卫生适宜技术研究与开发项目(编号:S201421-01);广西卫计委科研课题(编号:Z2015322)
  • 【文献出处】 中国临床新医学 ,Chinese Journal of New Clinical Medicine , 编辑部邮箱 ,2016年08期
  • 【分类号】R656.21
  • 【下载频次】33
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