Abstract: 【Abstract】〓Objective〓To summarize the experience of tension-free hernioplasty for the chronic hepatitis B patients with cirrhosis and ascites. Methods〓From June 2006 to June 2011, 28 cirrhotic patients complicated by inguinal hernia underwent tension-free hernia repair in our hospital. The clinical data were retrospectively analyzed including the preoperative and postoperative treatment, surgical timing and surgical method. Results〓All operations were successfully completed and operative incisions were first intention. The operative complications included slight hematocele, wound oozing of blood, wound extravasation (from abdominal fluid) in one case, respectively. The follow-up ranged from 18 to 78 months, no infection and no recurrence were found. Conclusion〓For the patients with Hepatitis B complicated by cirrhosis and ascites, it is necessary to perform a strict perioperative management for receiving hernia repair and improving the quality of life

Key words: Inguinal hernia, Cirrhosis, Ascites, Perioperative management, Tension-free hernia repair

摘要： 【摘要】〓目的〓总结择期无张力疝修补术治疗乙肝肝硬化、腹水的腹股沟疝的经验。方法 回顾性分析2006年6月至2011年6月采用择期无张力疝修补手术治疗28例乙肝肝硬化腹水的腹股沟疝患者的资料,对其术前、术后治疗、手术时机及手术方法进行总结。结果〓全组患者手术成功,手术并发症包括阴囊血肿1例、切口渗血1例、腹腔渗积液渗漏1例;术后随访18~78个月,无疝复发,术区也无红、肿及不适。结论〓乙肝肝硬化腹水的腹股沟疝患者经严格的围手术期处理,能顺利接受疝修补术,提高患者生活质量。

关键词: 腹股沟疝, 肝硬化, 腹水, 围手术期处理, 无张力疝修补术