CAJ | 학술논문

目的探索双臂交叉环抱型补片在经腹腔腹膜前修补术中的可行性与应用技巧.方法回顾2009年9月-2012年2月应用双臂交叉环抱型补片行经腹腹腔镜腹膜外腹股沟疝修补术46例,分析其临床病例资料和手术视频资料,对手术方法和操作技巧进行总结,记录患者术后恢复情况.结果 46例患者(53侧)手术均成功,单侧疝平均手术时间为(57.74±11.89) min,7例双侧腹股沟联合疝平均手术时间为(83.86±20.42) min,最长125 min.术中发现对侧隐匿疝6例.术后血清肿2例,皮肤异常感觉1例,无复发.结论双臂交叉环抱型补片在腹股沟疝修补术中利用自身解剖结构精索血管、输精管(女性为子宫圆韧带)固定补片确切、无移位,避免了缝合、钉合固定.
목적 탐색쌍비교차배포형보편재경복강복막전수보술중적가행성여응용기교.방법 회고2009년9월-2012년2월응용쌍비교차배포형보편행경복복강경복막외복고구산수보술46례,분석기림상병례자료화수술시빈자료,대수술방법화조작기교진행총결,기록환자술후회복정황.결과 46례환자(53측)수술균성공,단측산평균수술시간위(57.74±11.89) min,7례쌍측복고구연합산평균수술시간위(83.86±20.42) min,최장125 min.술중발현대측은닉산6례.술후혈청종2례,피부이상감각1례,무복발.결론 쌍비교차배포형보편재복고구산수보술중이용자신해부결구정색혈관、수정관(녀성위자궁원인대)고정보편학절、무이위,피면료봉합、정합고정.
Objective To explore the feasibility and application skills of transabdominal preperitoneal prosthesis (TAPP) with cross-encircling arms of mesh.Methods From Septemer 2009 to February 2012,46 cases were given TAPP with cross-encircling arms of mesh.The clinical data and surgery videos were retrospectively analyzed.Results All of the 46 cases with 53 inguinal hernias were successful in TAPP.The mean operative time of unilateral hernia was (57.74 ± 11.89) min,the mean operative time of 7 cases with biliateral hernia was (83.86 ±20.42) min and the longest time was 125 min.There were 6 cases with the contralateral hidden hernia,2 cases with hematoma,1 case with paresthesias of skin,no realpse.Conclusion The mesh with cross-encircling arms can be exactly fixed by spermatic cord,ductus deferens or round ligament of uterus,without stitching and stappling.