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编号:11175063
腹腔镜腹腔内置片加粘停宁治疗腹股沟疝(附85例报告)
http://www.100md.com 《腹腔镜外科杂志》 2006年第4期
疝,腹股沟;腹腔镜检查,,疝,腹股沟;腹腔镜检查,【摘要】,【关键词】,1资料与方法,2结果,3讨论,参考文献
     【摘要】 目的:探讨粘停宁在腹腔镜腹腔内补片植入术(IPOM)治疗腹股沟疝的优越性。方法:应用腹腔镜腹腔内补网片法(intraperitoneal on laymesh,IPOM)及粘停宁治疗85例疝患者(其中嵌顿疝12例,双侧疝24例,复发疝20例)。结果:85例均在腹腔镜下完成手术,手术时间20~30min,平均25min,术中无并发症,无出血。住院3~7d,平均4d。术后恢复顺利,无肠粘连、腹腔感染、阴囊血肿。随访85例6~24个月,平均16个月,无复发。结论:腹腔镜IPOM及粘停宁方法治疗腹股沟疝安全可行,且患者创伤小,康复快,住院时间短,不易复发,无肠粘连等并发症。

    【关键词】 疝,腹股沟;腹腔镜检查

    Laparoscopic hernioplasty combined with medical chitin degraded membrane in the treatment of inguinal hernia XIANG Guoan,CHEN Kaiyun,WANG Hanning,et al.Department of General Surgery,Second People's Hospital of Guangdong Province,Guangzhou 510317,China

    【Abstract】 Objective:To explore the effect and prosperity of medical chitin degraded membrane combined with laparoscopic intraperitoneal on laymesh(IPOM)in the treatment of inguinal hernia.Methods:medical chitin degraded membrane combined with laparoscopic intraperitoneal on laymesh was perfomed in 85 cases with inguinal hernia from Janaury,2002 to August,2004.Results:The operation was successfully performed in all patients.The operative time was 2030minutes(average 25 minutes).No complication and bleeding was found intraoperatively.The hospitalization was 3 4days Follow up ranged from 6 months to 2 years and no relapse was found.Conclusions:medical chitin degraded membrane combined with laparoscopic IPOM is safe and effective,It has advantages of miniinvasion,short operation time and quick recovery. ......

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