CAJ | 학술논문

目的探讨在无张力疝修补术中正确安放、固定网寒和补片的方法.方法回顾性分析123例疝环充填式无张力疝修补术患者网塞和补片的安放与固定技术.观察术后积液、感染、窦道形成、皮瓣坏死、疝复发的发生率.结果 123例患者术后8 d均恢复.随访1.5～10.0年,均无切口积液、感染、皮瓣坏死,手术侧无复发,未手术侧发生腹股沟疝5例.结论网塞和补片安放要覆盖整个腹壁缺损区,与缺损周围健康组织充分密切接触,安放平整,对正常组织结构不形成损害.固定要牢靠、持久.
목적 탐토재무장력산수보술중정학안방、고정망한화보편적방법.방법 회고성분석123례산배충전식무장력산수보술환자망새화보편적안방여고정기술.관찰술후적액、감염、두도형성、피판배사、산복발적발생솔.결과 123례환자술후8 d균회복.수방1.5～10.0년,균무절구적액、감염、피판배사,수술측무복발,미수술측발생복고구산5례.결론 망새화보편안방요복개정개복벽결손구,여결손주위건강조직충분밀절접촉,안방평정,대정상조직결구불형성손해.고정요뢰고、지구.
Objective To explore the method of correctly placing and fixing mesh plug and patch in tension-free hernioplasty. Methods The data of 123 cases of plug-mesh tension-free hernioplasty with the method of placing and fixing mesh plug and patch were reviewed. Observed the incidence of postoperative effusion, infection, sinus formation, skin flap necrosis and hernia recurrence. Results All patients were restored after operation 8 days. Followed-up 1.5 -10.0 years,there was no incision effusion, infection,skin flap necrosis in all cases. No relapse happened on the operated side and 5 cases of inguinal hernia occurred on the non-operated side. Conclusions Mesh plug and patch must be placed to cover the whole abdominal wall defects,and contact closely with surrounding healthy tissue. They need to be placed neatly,fixed firmly and perpetually without any damage to the normal tissue structure.