经股入路 3D 补片装置治疗股疝的新型微创技术
New minimally invasive technique for repairing femoral hernias: 3-D patch device through a femoris approach.
机构信息
Therapeutic and Training Centre of Hernia, West China Hospital, China.
出版信息
Can J Surg. 2012 Jun;55(3):177-80. doi: 10.1503/cjs.030710.
BACKGROUND
Femoral hernias are less common than inguinal hernias. The use of preformed mesh to repair femoral hernias without tension has become increasingly common. We sought to investigate the safety and feasibility of repairing femoral hernias with a Prolene 3-dimentional (3-D) patch using a femoris approach.
METHODS
We identified all consecutive patients with femoral hernias treated at our centre with a Prolene 3-D patch using a femoris approach in our institution over a 5-year period (2004-2009). We assessed duration of surgery, length of stay in hospital, recurrence, postoperative pain and complications.
RESULTS
We repaired 73 hernias with this technique during the study period. The mean duration of surgery was 13.1 minutes, most patients were discharged in less than 24 hours, no recurrence was noted, and only minor complications occurred.
CONCLUSION
This technique has not only the same advantage of other tension-free repairs, but also the advantages of convenience and shorter duration of surgery.
背景
股疝比腹股沟疝少见。使用预先成型的网片无张力修补股疝已越来越普遍。我们旨在研究使用 Prolene 三维（3-D）补片经股部途径修复股疝的安全性和可行性。
方法
我们在 5 年期间（2004 年至 2009 年）在我们的机构中确定了所有连续使用 Prolene 三维补片经股部途径治疗股疝的患者。我们评估了手术时间、住院时间、复发、术后疼痛和并发症。
结果
我们在研究期间用该技术修复了 73 例疝。手术平均时间为 13.1 分钟，大多数患者在 24 小时内出院，无复发，仅出现轻微并发症。
结论
该技术不仅具有其他无张力修复的相同优点，而且还具有方便和手术时间更短的优点。
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