腹腔镜外科杂志2017，Vol.22Issue(9)：688-691,4.DOI:10.13499/j.cnki.fqjwkzz.2017.09.688
腹腔镜治疗成年人隐匿性腹股沟疝的临床研究
Clinical study about laparoscopic treatment of occult inguinal hernia in adults
吴劲风 1孙元水 2王峰勇 2倪海滨 2陈剑2
作者信息
- 1. 浙江中医药大学,浙江 杭州,310053
- 2. 浙江省立同德医院
- 折叠
摘要
Abstract
Objective:The purpose of this study is to evaluate the incidence of occult contralateral inguinal hernia ( OCH) dur-ing laparoscopic inguinal hernia repairs ( LIHR) ,to mark the risk factors and judge which kind of patients need bilateral inguinal explo -ration.Methods:The results of 174 patients who underwent laparoscopic inguinal hernia repair in Tongde Hospital of Zhejiang Province during the period of 2014-2015 were retrospectively analyzed .160 patients among them underwent bilateral groin exploration .The occur-rence rate of OCH and metachronous contralateral inguinal hernia were calculated respectively .Meanwhile,the incidence of operative complications was also assessed over a period of following-up ranging from 24 to 36 months.Results:There was one case loss of follow-ing-up.15 patients (15/160) who completed bilateral exploration were diagnosed as OCH during operation .6 patients (6/144) under-went unilateral repair ( though they were given bilateral groin exploration and considered contralateral side "healthy") developed a her-nia in median follow-up of 29 months.Operative complications were summarized as follows:two cases of seroma,one case of recurrence, one case of mesh shifting and five cases of chronic pain .In addition,one case was transferred to open surgery .There was no surgical site infection,intestinal injury,vas deferens injury or blood vessels injury .Conclusions:There is higher incidence of OCH reported in the elder/male/the left side/the greater defect of hernia ring .For these patients ,bilateral inguinal exploration is recommended and prophy-lactic bilateral hernia repair is necessary and safe according to the findings of laparoscopic exploration .关键词
疝,腹股沟/隐匿性疝/成年人/腹腔镜检查Key words
Hernia,inguinal/Occult hernia/Adult/Laparoscopy分类
医药卫生引用本文复制引用
吴劲风,孙元水,王峰勇,倪海滨,陈剑..腹腔镜治疗成年人隐匿性腹股沟疝的临床研究[J].腹腔镜外科杂志,2017,22(9):688-691,4.
