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应用Desarda技术修补青年腹股沟疝65例报告

裴利娟 朱新勇 孙鹏君 付庭焕 田文 李基业

中国实用外科杂志Issue(5):422-425,4.
中国实用外科杂志Issue(5):422-425,4.DOI:10-7504/CJPS.ISSN1005-2208.2014.05.15

应用Desarda技术修补青年腹股沟疝65例报告

Repair of inguinal hernia in young patients by using Desarda technique:A report of 65 cases

裴利娟 1朱新勇 1孙鹏君 1付庭焕 1田文 2李基业1

作者信息

  • 1. 中国人民解放军总医院第一附属医院普外科,北京100048
  • 2. 中国人民解放军总医院普外科,北京100853
  • 折叠

摘要

Abstract

Objective To evaluate the clinical effect of inguinal hernia repair in young patients by using Desarda technique. Methods The clinical data of 65 young cases of inguinal hernia underwent Desarda technique from May 2008 to August 2013 at Department of General Surgery,the First Hospital Affiliated to General Hospital of PLA were analyzed retrospectively. The 65 cases included 58 cases of indirect hernias,7 cases of direct hernia. There were 21 cases of typeⅠhernia,37 cases of typeⅡhernia and 7 cases of typeⅢhernia. Results All of the 65 cases were operated on with Desarda technique. No intraoperative complication occurred. The mean operative time was(52.6 ± 9.4)min and the mean hospital stay was (6.4 ± 1.6) days. A total of 83.1% (54/65) of cases were ambulatory within 24h after the surgery. The were 89.2%of cases (58/65) with tolerant mild pain, 7.7%(5/65)of cases with severe pain and 12.3%(8/65) of cases need analgesic once or twice on the first day after operation. A total of 93.8%(61/65) of cases were with relieved pain obviously and had only mild discomfort on the third day after operation. The discomfort in 95.4%(62/65) of cases was disappeared in the second weeks after operation. A total of 80.4%(52/65) of cases returned to normal work between 10 and 14 days after the surgery. There was no scrotal haematoma, seroma, wound infection and ischemic orchitis observed within one month after the operation. The follow-up period ranged from 4 to 67 months ( median 39 months), and there was no chronic pain and recurrence. Conclusion Desarda technique is an effective procedure for inguinal hernia in young patients.

关键词

Desarda技术/青年/腹股沟疝

Key words

Desarda technique/youth/inguinal hernia

分类

医药卫生

引用本文复制引用

裴利娟,朱新勇,孙鹏君,付庭焕,田文,李基业..应用Desarda技术修补青年腹股沟疝65例报告[J].中国实用外科杂志,2014,(5):422-425,4.

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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