腹腔镜；疝_腹股沟；疝修补术_

经腹腔腹膜前补片腹腔镜腹股沟疝修补术170例报告

http://www.100md.com 《腹腔镜外科杂志》 2006年第4期

腹腔镜；疝,腹股沟；疝修补术,,腹腔镜；疝，腹股沟；疝修补术,【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：探讨经腹腔腹膜前补片腹腔镜腹股沟疝修补术(TAPP)治疗腹股沟疝的方法与经验。方法：1995年6月～2005年7月应用TAPP治疗170例腹股沟疝，采用网状补片常规固定、腹膜常规连续缝合关闭等方法。结果：170例手术均获成功，无中转开放手术，平均手术时间52.5(40～120)min，术后平均住院4.5d。术后随访1～11年，1例直疝复发。结论：TAPP是一种安全可靠的疝修补术，具有复发率低等优点，特别适于复发疝、双侧疝等，值得推广应用。

     【关键词】 腹腔镜；疝，腹股沟；疝修补术

    Laparoscopic transabdominal preperitoneal repair of inguinal hernia：experience of 170 cases ZHANG Songbo,WANG Cunchuan,HU Youzhu,et al.Dept.of General Surgery of the First Affiliated Hospital of Jinan University,Guangzhou 510630,China

    【Abstract】 Objective:To discuss the experience of laparoscopic transabdominal preperitoneal repair of inguinal hernia (TAPP).Methods:From 1995.6 to 2005.7 we performed TAPP to 170 cases with inguinals hernia.The techniques used in operations included mesh patch,patch regular fix and peritoneum regular continuous sew up.Results:Operations were successfully done to all cases.The operative time ranged from 40 to 120 min.The average hospitalization was 4.5 days.Postoperative followup ranged from 1 to 11 years.Only 1 case of direct hernia relapsed.Conclusions:TAPP is a safe and reliable method.It has the advantage of low relapse rate and is especially suitable for bilateral and recurrent hernia.It the deserves to be expanded. ......

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