疝修补术：脐疝的无张力补片修补术与梅奥修补术对比
Hernioplasty: Tension free mesh repair versus Mayos repair for umbilical hernias.
作者信息
Tunio Nazir Ahmed
机构信息
Surgical Department Gambat Institute of Medical Science, Gambat (G.I.M.S), Sindh.
出版信息
J Pak Med Assoc. 2017 Jan;67(1):24-26.
OBJECTIVE
To compare two different techniques of repairing umbilical hernia.
METHODS
The comparative study was conducted from April 2009 to December 2011 at the Gambat Institute of Medical Sciences, Gambat, Pakistan, and comprised hernia patients who were randomly allocated to group A and group B. In group A, repair was carried with tension free hernioplasty, while group B underwent Mayo's repair. All patients were operated by the same consultant surgeon. All patients were followed up for 36 months.
RESULTS
The 86 patients were divided into two groups of 43(50%) each. There were 18(20.9%) males and 68(79%) females. Patients in group A needed less post-operative analgesics 4.3±7.49 (p<0.05) and short hospital stay 6.14±1.3 days (p<0.05). Postoperative complications were more in group B (p<0.05). There was 1(2.3%) recurrence in group A and 3(7%) in group B over the 36-month follow-up.
CONCLUSIONS
Tension free mesh repair was found to be a better technique than Mayo's repair for umbilical hernia.
目的
比较两种不同的脐疝修补技术。
方法
该对比研究于2009年4月至2011年12月在巴基斯坦甘巴特医学科学研究所进行，纳入的疝患者被随机分为A组和B组。A组采用无张力疝修补术，而B组采用梅奥修补术。所有患者均由同一位顾问外科医生进行手术。所有患者均随访36个月。
结果
86例患者被分为两组，每组43例（50%）。男性18例（20.9%），女性68例（79%）。A组患者术后所需镇痛药较少，为4.3±7.49（p<0.05），住院时间较短，为6.14±1.3天（p<0.05）。B组术后并发症较多（p<0.05）。在36个月的随访中，A组有1例（2.3%）复发，B组有3例（7%）复发。
结论
对于脐疝，发现无张力补片修补术是比梅奥修补术更好的技术。
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