腹腔镜外科杂志2025，Vol.30Issue(8)：600-603,4.DOI:10.13499/j.cnki.fqjwkzz.2025.08.600
内环口缩窄成型术在腹腔镜治疗Ⅲ型腹股沟斜疝中的应用
Application of internal ring defect narrowing technique in laparoscopic hernia repair for type Ⅲ indirect inguinal hernia
摘要
Abstract
Objective:To investigate the application value of the internal ring defect narrowing technique in laparoscopic transabdominal preperitoneal hernia repair(TAPP)for type Ⅲ indirect inguinal hernia in adult males.Methods:The clinical data of 84 adult male patients with type Ⅲ indirect inguinal hernia who underwent TAPP from Jan.2023 to Dec.2023 were retrospectively ana-lyzed.The patients were divided into two groups based on the management of the hernia ring defect:the narrowing group(n=40),in which the internal ring was narrowed to ≤1 cm using 3-0 barbed suture,and the conventional group(n=44),which received no specific treatment of the hernia ring.Results:All operations were completed successfully.There were no significant differences in baseline clinical data,intraoperative blood loss,hospitalization costs,or postoperative hospital stay between the two groups.The operation time in the narrowing group was longer than that in the conventional group(t=4.843,P＜0.001).The incidence of postoperative seroma in the narrowing group was significantly lower than that in the conventional group(5％vs.22.7％,x2=5.377,P=0.020).Conclusions:The internal ring defect narrowing technique in laparoscopic TAPP for type Ⅲ indirect inguinal hernia in adult males is safe and reliable.It can effectively reduce the incidence of seroma and is worthy of widespread clinical application.关键词
疝,腹股沟/疝修补术/腹腔镜检查/内环口缩窄Key words
Hernia,inguinal/Herniorrhaphy/Laparoscopy/Internal ring narrowing分类
医药卫生引用本文复制引用
汪杰,高小斌,张云峰,包文中,李良..内环口缩窄成型术在腹腔镜治疗Ⅲ型腹股沟斜疝中的应用[J].腹腔镜外科杂志,2025,30(8):600-603,4.基金项目
蚌埠医学院自然科学重点项目(2022byzd216) （2022byzd216）
