期刊文献+

腹腔镜经腹膜前修补术治疗腹股沟嵌顿疝 预览 被引量:2

Laparoscopic transabdominal preperitoneal herniorrhaphy in treatment of incarcerated inguinal hernia
在线阅读 下载PDF
分享 导出
摘要 目的 探讨腹腔镜经腹膜前修补术(TAPP)治疗腹股沟嵌顿疝的临床价值.方法 回顾性分析2015年1月-2016年12月收治的44例急性腹股沟嵌顿疝的临床资料,按手术方式的不同分为观察组(n=19)和对照组(n=25),观察组采用TAPP术,对照组采用开放腹膜前修补术,比较两组患者的临床疗效.结果 两组均成功完成手术.观察组的手术时间、术中出血量分别是60.13±9.52 min和6.00±2.27 mL,对照组分别是60.25±10.71 min和7.25±3.92 mL,两组差异无统计学意义(P〉0.05).观察组术后疼痛VAS评分、术后肠道恢复时间、住院时间分别是2.63±1.06分,18.88±7.83 h和3.19±0.60 d,对照组分别是5.75±1.67分, 41.63±7.13 h和5.38±1.13 d,两组差异有统计学意义(P〈0.05).术后观察组并发症发生率为16%(3例血清肿),对照组为28%(3例血清肿,2例切口脂肪液化,1例术后慢性疼痛和1例复发),两组差异无统计学意义(P〉0.05).结论 正确掌握适应症, TAPP可以安全有效治疗急性腹股沟嵌顿疝,且具有创伤小、疼痛轻、恢复快等优点. Objective To explore the clinical value of laparoscopic transabdominal preperitoneal herniorrhaphy in treatment of incarcerated inguinal hernia. Methods Clinical data of 44 patients with acute incarcerated inguinal hernia who underwent herniorrhaphy in our hospital from January 2015 to December 2016 were retrospectively analyzed. According to different operation methods, the patients were divided into observation group (n=19) and control group (n=25). The observation group were received TAPP herniorrhaphy, and the control group were received open preperitoneal herniorrhaphy. The clinical curative effect of two groups were compared. Results Patients in two groups were fulfilled the operation successfully. The operation time and intraoperative blood loss of the observation group were 60.13±9.52 min and 6.00±2.27 mL, respectively. The control group were 60.25±10.71 min and 7.25±3.92 mL, respectively.The difference in 2 groups were not significant (P〉0.05). The differences of postoperative VAS scores, postoperative intestinal recovery time and hospitalization time in observation group and control group were significant (2.63±1.06, 18.88±7.83 h, 3.19±0.60 d; 5.75±1.67, 41.63±7.13 h, 5.38±1.13 d; P〈0.05). The incidence of postoperative complications in the observation group was 16%(3 cases of seroma) and the control group was 28% (3 cases of seroma, 2 cases of incision fat liquefaction, 1 case of chronic pain and 1 case of recurrence). The difference was not significant (P〉0.05). Conclusion With correct indication selection, TAPP will be safely and effectively applied on patients with acute incarcerated inguinal hernia. It has small trauma, less pain and quick recovery.
作者 张光军 张吉发 陶利华 卞绕刚 孙家亮 单远洲 张学利 ZHANG Guangjun, ZHANG Jifa, TAO Lihua, BIAN Raogang, SUN Jialiang, SHAN Yuanzhou, ZHANG Xueli (Department of General Surgery, Central Hospital of Fengxian District, The South Branch of the Sixth People's Hospital, Shanghai Jiaotong University, Shanghai 201499, China)
出处 《分子影像学杂志》 2017年第4期416-419,共4页
关键词 腹股沟嵌顿疝 腹腔镜 腹膜前 疝修补术 incarcerated inguinal hernia laparoscopes preperitoneal herniorrhaphy
作者简介 张光军,主任医师,硕士,E—mail:zhgj73@126.com
  • 相关文献

参考文献4

二级参考文献55

  • 1马颂章,主译.Nyhus & condon's疝外科学.第5版.北京:人民卫生出版社,2003:186-187. 被引量:1
  • 2Sherwinter D A,Eckstein J G.Feasibility study of natural orifice transluminal endoscopic surgery inguinal hernia repair.Gastrointest Endosc,2009,70:126-130. 被引量:1
  • 3Stoppa R,Petit J,Abourachid H,et al.Original procedure of groin hernia repair= interposition without fixation of Dacron tulle prosthesis by subperitoneal median approach.Chirurgie,1973,99:119-123. 被引量:1
  • 4Van Nieuwenhove Y,Vansteenkiste F,Vierendeels T,et al.Open,preperitoneal hernia repair with the Kugel patch:a prospective,multicentre study of 450 repairs.Hernia,2007,11:9-13. 被引量:1
  • 5Schmidt J,Carbajo M A,Lampert R,et al.Laparoscopic intraperitoneai onlay polytetrafluoroethylene mesh repair(IPOM)for inguinal hernia during spinal anesthesia in patients with severe medical conditions.Surg Laparosc Endosc Percutan Tech,2001,11:34-37. 被引量:1
  • 6Dulucq J L,Wintringer P,Mahajna A.Laparoscopic totally extraperitoneal inguinal hernia repair:lessons learned from 3,100 hernia repairs over 15 years.Surg Endosc,2009,23:482-486. 被引量:1
  • 7McCormack K,Wake B L,Fraser C,et al.Tranaabdominal pre-peritoneal(TAPP)versus totally extraperitoneal(TEP)laparoscopic techniques for inguinal hernia repair:a systematic review.Hernia,2005,9:109-114. 被引量:1
  • 8Amid P K.Groin hernia repair:open techniques.World J Surg,2005,29:1046-1051. 被引量:1
  • 9Pélissier E P.Inguinal hernia:the size of the mesh.Hernia,2001,5:169-171. 被引量:1
  • 10Pélissier E P,Marre P,Damas J M.Inguinal hernia:what is the optimal size of prosthetic patch? J Chir(Paris),2002,139; 257-259. 被引量:1

共引文献588

同被引文献21

引证文献2

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈