[1]朱小林①,王存川,何家驹,等.腹腔镜腹膜前补片修补术治疗复发性腹股沟疝24例经验[J].中国微创外科杂志,2005,05(9):726-727.
　ZhuXiaolin,WangCunchuan*,He Jiaju*,et al.Laparoscopic transabdominal preperitoneal repair for recurrent inguinal hernia: Experience of 24 cases[J].Chinese Journal of Minimally Invasive Surgery,2005,05(9):726-727.
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腹腔镜腹膜前补片修补术治疗复发性腹股沟疝24例经验()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年9期
页码:
726-727
栏目:
出版日期:
2005-09-30

文章信息/Info

Title:
Laparoscopic transabdominal preperitoneal repair for recurrent inguinal hernia: Experience of 24 cases
作者:
朱小林①; 王存川; 何家驹; 吴东波; 胡友主
广州市暨南大学第一附属医院腹腔镜外科,广州,510630
Author(s):
ZhuXiaolin;  WangCunchuan*; He Jiaju*;  et al.
Department of Laparoscopic Surgery, First Affiliated Hospital of Jinan University, Guangzhou510630,China
关键词:
腹腔镜; 复发; 腹股沟疝; 经腹腔腹膜前补片修补术
Keywords:
Laparoscope; 　Recurrence; 　Inguinal hernia; 　Transabdominal approach with stapled preperitoneal meshrepair
分类号:
R656.2+1
文献标志码:
A
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 stapled preperitoned 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47～128 min,平均69 min,术后住院2～5 d,平均3 d.术后6例出现尿潴留,留置尿管1～3 d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.
Abstract:
Objective　To analyze reasons ofpostoperative relapse of inguinalhernia and to explore the clinical significance of laparoscopic transabdominal preperitoneal (TAPP) repair for recurrent hernia.　M ethods　We retrospectively analyzed clinical data of24 cases of recurrent inguinal hernia treated by laparoscopic TAPP repair from June 1998 to October 2003 in this hospita.l There were 11 cases of directhernia and 13 cases of indirecthernia.　Results　Operationswere completed successfully in all the 24 cases without conversions to open surgery. The operation timewas 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, inwhich a Foley urethral catheterwas indwelled for 1~3 days. Therewere no complications such aswound infection, scrotalhematoma or pneumatosis. Follow-up checkupsweremade for2~66 months (mean, 27 months) in all the 24 cases. No recurrencewas observed.　Conclusions　LaparoscopicTAPP repair for recurrent inguinal hernia has advantages of minimal invasion and few complications, being a safe and feasible option for treating recurrent inguinal hernia.

参考文献/References:

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备注/Memo

备注/Memo:
①（重庆垫江县人民医院外二科,垫江,408300）　
更新日期/Last Update: 2014-04-10