Chiang H-C, Chen P-H, Chen Y-L, Yan M-Y, Chen C-C, Lin J, Wang P-F, Shih H-J
Division of Urology, Department of Surgery, Changhua Christian Hospital, 135, Nanxiao St, Changhua, Taiwan.
Hernia. 2015 Jun;19(3):437-42. doi: 10.1007/s10029-014-1297-6. Epub 2014 Aug 8.
The purpose of this study was to evaluate the efficacy and safety of the anterior Kugel herniorrhaphy approach when the onlay patch is omitted.
The study population comprised patients who underwent anterior Kugel herniorrhaphy without the onlay patch from 1 May 2009, to 31 June 2012. The onlay patch was omitted if the posterior wall defect did not exceed the inner Posiflex(®) ring diameter. After reviewing the clinical follow-up records and conducting telephone interviews, the postoperative results were recorded and analyzed.
A total of 163 patients underwent 175 hernia repairs. One patient developed recurrence after undergoing our herniorrhaphy method. The most common postoperative complaints were mild soreness, indescribable discomfort, and foreign body sensations (11 patients). The mean operative time and hospital stay were 67 min and 2 days, respectively. More serious complications included one scrotal hematoma, one hydrocele, and one wound infection that resulted in epididymitis.
The onlay patch can be omitted with low recurrence and complication rates if the posterior wall defects do not exceed the inner Posiflex(®) ring diameter.
本研究旨在评估省略补片覆盖修补术时前路Kugel疝修补术的疗效和安全性。
研究对象为2009年5月1日至2012年6月31日期间接受省略补片覆盖修补术的前路Kugel疝修补术患者。如果后壁缺损未超过内侧Posiflex®环直径，则省略补片覆盖修补术。在查阅临床随访记录并进行电话访谈后，记录并分析术后结果。
共有163例患者接受了175次疝修补术。1例患者在接受我们的疝修补术后出现复发。最常见的术后主诉是轻度酸痛、难以形容的不适和异物感（11例患者）。平均手术时间和住院时间分别为67分钟和2天。更严重的并发症包括1例阴囊血肿、1例鞘膜积液和1例导致附睾炎的伤口感染。
如果后壁缺损未超过内侧Posiflex®环直径，则可以省略补片覆盖修补术，且复发率和并发症发生率较低。
