摘要
目的:探讨在腹腔镜下疝环缝合加强腹横筋膜基础上使用生物补片经腹腹膜前修补（TAPP）治疗成人腹股沟疝的疗效。方法:回顾分析天津市人民医院2021年1月至2022年6月，对46例成人腹股沟疝患者在疝环缝合基础上使用SIS补片行TAPP的临床资料，观察患者术后1 d，7 d，4周，6个月复发、疼痛、血清肿、感染等指标。结果:46例患者均在腹腔镜下完成手术，无中转开放手术，手术时间30～88 min，术后24 h出院32例，48 h出院14例。46例患者术后均随访至6个月，随访期间，无复发、无慢性疼痛、无感染和异物感，发生血清肿2例。结论:基于腹腔镜下疝环缝合加强腹横筋膜基础上的腹股沟疝生物补片修补应用于成人安全有效，有着较低的并发症发生率。
Abstract
Objective:To explore the clinical effect of using biological mesh in laparoscopic trans-abdominal preperitoneal (TAPP) hernia repair to treat adult inguinal hernia on the basis of hernia ring suture to strengthen the transverse abdominal fascia.Methods:Clinical data of 46 adult patients with inguinal hernia were retrospectively analyzed, who underwent TAPP repair using the porcine small intestine submucosa (SIS) mesh based on hernia ring suture from January 2021 to June 2022 in Tianjin Union Medical Center. Recurrence, pain, seroma, infection and other indicators were observed at 1 d, 7 d, 4 w, and 6 m after surgery.Results:The laparoscopic operations were successful in 46 patients, with no conversion to open surgery. The operation time was 30-88 min. 32 patients were discharged from hospital 24 hours after operation, and 14 patients were discharged 48 hours after operation. All the 46 patients were followed up for 6 months, and the follow-up rate was 100%. During the period of follow-up, there were were no recurrence, no chronic pain, no infection or foreign body sensation, and 2 cases of seroma.Conclusion:Biological mesh inguinal hernia repair based on laparoscopic hernia ring suture to strengthen the transverse abdominal fascia is not only safe and effective in adult patients with inguinal hernia, but also with a low complication rate.
基金项目
天津市医学重点学科(专科)建设项目(TJYXZDXK-058B)
万方数据