外科理论与实践2011，Vol.16Issue(2)：181-184,4.
"颈-肩"技术在188例腹股沟斜疝修补术中的应用体会
Clinical experiences of"Neck-shoulder"technique in repairing 188 cases of indirect inguinal hernias
孙荣勋 1章勇 1顾超 1周亮 1俞建平1
作者信息
- 1. 复旦大学附属金山医院普外科,上海,200540
- 折叠
摘要
Abstract
Objective "Neck-shoulder" technique is an essential step of preperitoneal hemioplasty in indirect inguinal hemia patients. The technique was expanded to be applied in prefascial henioplasty, the value of which was studied. Methods 188 patients were treated separately with Lichtenstein, Rutkow, Millikan procedures. "Neck-shoulder" technique was taken in all the cases as follows. The fascia transversalis was dissected to approach the "neck" of hernia sac directly at the internal inguinal ring after dissecting off the spermatic cord delicately. The hernia sac was then separated to above internal ring level, followed by separating the visceral sac ("shoulder") from the fascia transversalis for gaining access to the Bogros space. The operative data, short-term and long-term postoperative complications were observed. Results All operations were performed smoothly. Average operating time was fifty minutes. There were little intraoperative bleeding, the postoperative complication rate was lowered and no recurrence occurred. Conclusions "Neck-shoulder" technique applied in indirect inguinal hernioplasty can help to provide simple process, clear anatomy, little accessory injury and reliable repair.关键词
"颈-肩"技术/腹股沟疝/疝修补术Key words
"Neck-shoulder" technique/ Inguinal hernia/ Hernia repair分类
医药卫生引用本文复制引用
孙荣勋,章勇,顾超,周亮,俞建平.."颈-肩"技术在188例腹股沟斜疝修补术中的应用体会[J].外科理论与实践,2011,16(2):181-184,4.
