| Inguinal hernia repair after a hundred years, from a low tension to tension, tension-free hernia repair and then to the evolution. Hernia repair surgery because of tension caused by the high recurrence rate and the inconvenience caused to patients, is being gradually abandoned. Open without tension for hernia repair art has become one of the first.With hernia anatomy and pathological physiology of awareness and the advent of artificial materials, Lichtenstein American College of Surgeons in 1989 proposed the "tension-free hernia repair," the new concept, this concept includes the application of artificial patch and individual operation choice of two programs.Their trauma, quick recovery, simple operation, meet the anatomy and physiology, fewer complications, recurrence rate and hernia repair to replace the traditional trend, the most representative of which is open tension-free hernia repair. Since September 1997 in Malaysia Chapter Ode General Hospital in Beijing Posts and Telecommunications was China's first case of hernia ring filling tension-free hernia repair surgery (plug mesh hernia repair) has gained rapid popularity, more effective than traditional repair has been greatly improved. Open tension-free hernia repair mainly in the following several procedures: Lichtenstein surgical procedures (plain film tension-free hernia repair), obliteration (plug method), Mesh-plug surgical procedures (hernia ring filling tension-free hernia repair operation), Stoppa surgical full name is huge patch to enhance visceral sac surgery (Giant prostheticr einforcement of the visceral sac, GPRVS). These surgical procedures in clinical practice to prove its advantages and disadvantages, no single surgical procedures can make people satisfied. In recent years, three in one patch with the PHS applications Because of its more advanced design concepts and a good clinical effect has aroused extensive attention. Carried out in China later this technology is not yet widely used, this comparative study to explore through a more rational treatment of inguinal hernia surgery.Objective:PHS comparative study of tension-free hernia repair and the hernia ring filling after hernia repair to determine the clinical effect of a more appropriate treatment for inguinal hernia surgery.Methodsin:our hospital from January 2004 to December 2009 between the surgical treatment of 102 cases of inguinal hernia patients, all patients were divided into two groups, with PHS patch repair in a group of 52 cases. Mesh plug hernia repair operation for the control group, 50 cases. In accordance with the Chinese Medical Association Surgeons hernia and abdominal surgery to form a human inguinal hernia and femoral hernia classification in 2003 revised classification: PHS Group I type hernia in 3 cases,â…¡type hernia in 13 cases,â…¢type hernia in 31 cases,â…£type 5 cases. Control group I type hernia in 5 cases,â…¡type hernia in 21 cases,â…¢type hernia 22 cases,â…£type 2 cases.Rule out the coexistence of disease were: chronic cough, constipation, etc. lead to high intra-abdominal pressure who have coagulation disorders, and there was a serious liver and kidney dysfunction. Comparison of operative time, intraoperative injury of great vessels, patients with or without catheterization, after the first day of white blood cells, postoperative complications, local discomfort, relapse rate and analysis of two surgical advantages and disadvantages.Conclusion:1,Mesh plug hernia repair without tension and PHS hernia repair patch has a lower recurrence were, on the advantages of small body trauma.2,PHS hernia repair patch over hernia ring filling after tension-free hernia repair in patients less discomfort, and further improve the quality of life of patients.3,PHS hernia repair patch of pubic muscle repair holes, hernia ring, inguinal canal, and can prevent other hernia recurrence, the surgical approach is more reasonable.4,PHS hernia repair patch is more suitable for typeâ…¢,â…£inguinal hernia.
|
PDF Full Text Request