Furtschegger A, Sandbichler P, Judmaier W, Gstir H, Steiner E, Egender G
Department of Radiology, Hall Hospital, Tyrol, Austria.
J Ultrasound Med. 1995 Sep;14(9):679-84. doi: 10.7863/jum.1995.14.9.679.
We evaluated the use of sonography as a means of assessing hernial occlusion and possible postoperative changes such as hematomas or seromas in the inguinal and scrotal regions after 1139 laparoscopic repairs of hernias between August 1992 and November 1994. Changes after laparoscopic hernia repair were found in 307 patients (27%). Hematomas or seromas were seen in 132 patients, protrusion of the prosthetic mesh in 17, mesh infection in two, and small bowel entrapment in an insufficient peritoneal suture in two. Recurrences were diagnosed correctly in six patients, mobile preperitoneal lipomas in five. Sonography is useful in the evaluation of complications after laparoscopic hernia repair, including recurrent hernia. In the absence of symptoms, sonography is not indicated.
我们评估了超声检查在1992年8月至1994年11月间1139例腹腔镜疝修补术后评估腹股沟和阴囊区域疝阻塞及可能的术后变化（如血肿或血清肿）中的应用。307例患者（27%）发现腹腔镜疝修补术后有变化。132例患者出现血肿或血清肿，17例出现人工补片突出，2例出现补片感染，2例因腹膜缝合不足导致小肠嵌顿。6例患者被正确诊断为复发，5例为活动的腹膜前脂肪瘤。超声检查在评估腹腔镜疝修补术后的并发症（包括复发性疝）中很有用。在无症状的情况下，不建议进行超声检查。
