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腹股沟疝是外科常见病,治疗上一直沿用各种疝修补术。因修补后张力较大,局部疼痛及牵扯感较明显,同时需要常规卧床3~5天,对于老年人出现合并症的机会增多,且复发率较高,因此我们采用了无张力疝修补术10例。临床资料:本组病人均为男性,年龄21~72岁,平均年龄51岁,均采用无张力疝修补,术后当天下床,1例局部稍肿胀,有轻度牵扯感及疼痛,全部病例无伤口感染及其它合并症,一年随访无复发。手术方法:常规疝切口采用巴西尼氏法修补后壁。首先游离精索后修补内环口之腹横筋膜裂隙,然后用人造绦纶心补片3×
Inguinal hernia is a common surgical disease, the treatment has been used in a variety of hernia repair. Due to the larger tension after repair, local pain and involvement of the more obvious, while the need for routine bedridden 3 to 5 days, for the elderly appear more chance of complications, and the recurrence rate is higher, so we used tension-free hernia repair 10 example. Clinical data: This group of patients were male, aged 21 to 72 years, mean age 51 years, were treated with tension-free hernia, get out of bed the day after surgery, a slight local swelling, mild involvement and pain, all cases No wound infection and other complications, one year follow-up no recurrence. Surgical methods: Conventional hernia incision with Brazilian Nitz’s method to repair the posterior wall. After the first free spermatic repair of the inner mouth of the transverse fascia fissure, and then use artificial silk fiber patch 3 ×