【摘要】 目的总结应用巴德3DMax补片行经腹腹膜前补片植入术治疗腹股沟疝的经验技巧和体会。方法回顾性分析2011年4月-2012年2月共15例腹股沟疝患者的临床资料,患者全部在全身麻醉下行腹腔镜TAPP术,术中应用巴德3DMax补片。结果 15例患者共进行17侧TAPP术,手术时间35～90 min,平均手术时间单侧45 min,双侧80min。术后无需使用镇痛剂,术后住院时间4～7 d,平均5.6 d。术后并发阴囊血清肿1例,无术后腹股沟区慢性疼痛及异物不适感病例。随访1～10个月,平均6.5个月,无术后复发病例。结论应用巴德3DMax补片行腹腔镜TAPP术,安全可靠,操作简单方便,可使手术时间缩短,减少手术并发症,并有术后疼痛轻、恢复快、复发率低的优点。更多还原

【Abstract】 Objective To summarize local experience and skills of using Bard 3DMax mesh in transabdominal preperitoneal laparoscopic repair(TAPP) to treat patients with inguinal hernia.Methods From April 2011 to February 2012,15 patients suffered in inguinal hernia underwent TAPP under general anesthesia,with using Bard 3DMax mesh were analyzed retrospectively.Results Fifteen cases had been performed 17 sides TAPP.The operating time was 35 to 90 min.The mean operating duration was 45 min for unilateral hernia and 80 min for bilateral ones.The patients did not need analgesics after operation.The patients stayed time after operation was 4-7 days with the mean of 5.6 days.Hematomas occurred in 1 cases.There was no chronic inguinal pain,foreign body sensation cases and no recurrence after 1-10 months follow-up.Conclusion Using Bard 3DMax mesh in laparoscopic TAPP can be performed safely and reliably.It also helped to shorten the operating time and reduces the complication rates of the operation.The procedure had advantages of faster postoperative recover,less pain,lower complications and recurrence rate.更多还原