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岭南现代临床外科 ›› 2014, Vol. 14 ›› Issue (03): 329-330.DOI: 10.3969/j.issn.1009-976X.2014.03.030

• 论著与临床研究 • 上一篇    下一篇

免钉合经腹腹膜前腹腔镜腹股沟疝修补术(附104例报告)

李翔 刘雪宜 史振超   

  1. 广东同江医院普外科
  • 通讯作者: 李翔

Laparoscopic transabdominal preperitoneal hernia repair with non stapling

Li Xiang, Liu Xueyi, Shi Zhenchao   

  • Received:2014-04-11 Revised:2014-06-13 Online:2014-06-20 Published:2014-07-02

摘要: 【摘要】〓目的〓探讨腹腔镜下免钉合经腹腹膜前腹股沟疝修补术(TAPP)的手术效果。方法分析2009年10月~2014年2月行TAPP手术104例。建立气腹后,于疝环边缘上方切开腹膜,于腹膜前置入聚丙烯补片,不予钉合固定。结果〓104例手术均获成功,无中转开腹,无手术及术后出血。随访1~20个月,无复发及慢性疼痛发生。结论〓免钉合TAPP手术操作方便,但需要较娴熟的腹腔镜操作技术及镜下缝合技术,腹膜前间隙的合适的解剖以及补片适当的置入是手术关键,免钉合既降低了手术的费用,也避免了手术后的疼痛的发生。

关键词: 腹股沟疝修补术, 腹腔镜, 经腹腹膜前, 免钉合

Abstract: 【Abstract】〓Objective〓To evaluate the efficacy of laparoscopic transabdominal preperitoneal (TAPP)hernia repair with non stapling mesh. Methods〓104 patients with inguinal hernia were included in the study from Oct 2009 to Feb 2014, and the clinical data were analyzed retrospectively. The brief surgical procedure was as follow. After setting the pneumoperitoneum, cut the peritoneum,then, place polypropylene mesh and fixed with non-stapling via preperitoneal operation. Results〓All operations were completed successfully, and no bleed occurred during and after surgery and no recurrence was found in one to 20 months of follow-up. Conclusion〓TAPP with non-tapling mesh is safe and feasible, and this operation reduces hospital cost and avoids the pain due to stapling.

Key words: Inguinal Herniorrhaphy, laparoscopy, Transabdominal preperitoneal, Non-stapling

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