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Three dimension with bilayer patch mesh in repairing inguinal hernia
Author(s): 
Pages: 839-840
Year: Issue:  11
Journal: CHINESE JOURNAL OF GENERAL SURGERY

Keyword:  腹股沟/外科学疝修补术双层补片;
Abstract: 目的探讨采用新型无张力三维双层补片修补术治疗腹股沟疝,及其减少腹股沟疝的术后并发症和复发率的效果.方法分析行三维双层补片疝修补术47例患者的临床资料.47例均为男性.中位年龄65岁.斜疝36例,直疝11例.该组患者的五六评分总得分均大于或等于6分.术中广泛解剖腹股沟区,将疝囊完全剥离至疝囊颈后,通过内环口将腹横筋膜与腹膜分离.在将疝囊经内环送入腹腔的同时,将三维补片的下层片经内环置入腹横筋膜与腹膜之间的间隙,上层补片缝合在腹股沟韧带和弓状下缘上,形成一个对腹股沟区前后修补的三维结构.结果术后患者无不良反应,术后第1天即可下床活动,第3天出院.全部患者随访1~2年,均无不适感,手术部位未出现硬结,无复发.结论该术式适用于"五六评分法"总分>6分且腹股沟管后壁需要修补的患者.该手术方式符合人体解剖特点,手术后并发症和复发率少,值得临床推广.但手术方法较复杂,对手术者的手术技巧要求较高.
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