Application of 3DMax Patch in Laparoscopic Inguinal Hernia Repair (Report of 18 Cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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禄韶英 , 佘军军 , 祁光裕 , 孙学军

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Keywords：

腹股沟疝; 腹腔镜; 腹股沟疝修补术; 复发

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目的评价3DMax补片在腹腔镜下全腹膜外修补术(totally extraperitoneal,TEP)中修补腹股沟疝的价值。
方法回顾性分析我院2009年2～6月期间腹腔镜下应用3DMax补片对18例腹股沟疝患者行TEP的临床资料，分析其手术时间、住院时间、复发和并发症发生情况。
结果 18 例患者中Ⅰ型疝3例，Ⅱ型疝4例，Ⅲ型疝9例，Ⅳ型疝2例；斜疝11例，直疝6例，股疝1例。成功完成腹腔镜下TEP 17例。1例因疝内容物为末端回肠，与疝囊粘连并局部狭窄梗阻，中转开放手术切除部分回肠。手术时间40～95 min，平均65.4 min。术后均未使用镇痛剂，术后住院时间2～7 d，平均住院5.5 d。术后发生阴囊血清肿1例，经穿刺排液后愈合良好。随访1～6个月，无复发病例。
结论腹腔镜下TEP具有创伤小、恢复快、复发率低等优点，采用预先成型的3DMax 补片使手术操作更加简便。

Citation： 禄韶英,佘军军,祁光裕,孙学军. Application of 3DMax Patch in Laparoscopic Inguinal Hernia Repair (Report of 18 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(9): 974-975. doi: Copy

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8.	Maddern G, Karatassas A, Hensman C. Pain or gain: new innovations and trends in hernia repair [J]. ANZ J Surg, 2009; 79(11): 778780.
9.	Van Nieuwenhove Y, Vansteenkiste F, Vierendeels T, et al. Open, preperitoneal hernia repair with the Kugel patch: a prospective, multicentre study of 450 repairs [J]. Hernia, 2007; 11(1): 913.
10.	Kurihara Y, Yamakawa T, Yoshino M, et al. Experience with direct Kugel patch method for repair of adult inguinal hernia [J]. J Nippon Med Sch, 2008; 75(1): 2831.
11.	向国安，陈开运, 王汉宁, 等. 完全腹膜化腹腔镜腹腔内置片法与经腹腔腹膜前网片法治疗腹股沟疝比较 [J]. 中国普外基础与临床杂志, 2007; 14(5): 521523.
12.	Dulucq JL, Wintringer P, Mahajna A. Laparoscopic totally extraperitoneal inguinal hernia repair: lessons learned from 3 100 hernia repairs over 15 years [J]. Surg Endosc, 2009; 23(3): 482486.
13.	Mirilas P, Colborn GL, McClusky DA 3rd, et al. The history of anatomy and surgery of the preperitoneal space [J]. Arch Surg, 2005; 140(1): 9094.
14.	雷文章, 黄建朋. 腹膜前间隙无张力修补马鞍疝的体会 [J]. 中国普外基础与临床杂志, 2009; 16(2): 9294.
15.	朱绍辉, 王建国. 巴德3DMax补片完全腹膜外腹腔镜疝修补术21例报告 [J]. 中华疝和腹壁外科杂志(电子版), 2009; 3(3): 271274.

1. Read RC. Herniology: past, present, and future [J]. Hernia, 2009; 13(6): 577580.
2. Eklund A, Carlsson P, Rosenblad A, et al. Longterm costminimization analysis comparing laparoscopic with open (Lichtenstein) inguinal hernia repair [J]. Br J Surg, 2010 Feb 24. DOI: 10.1002/bjs.6945.
3. 陈杰. 实用疝外科手术技巧 [M]. 北京：北京科学技术出版社， 2008: 79.
4. Zacharoulis D, Fafoulakis F, Baloyiannis I, et al. Laparoscopic transabdominal preperitoneal repair of inguinal hernia under spinal anesthesia: a pilot study [J]. Am J Surg, 2009; 198(3): 456459.
5. Smink DS, Paquette IM, Finlayson SR. Utilization of laparoscopic and open inguinal hernia repair: a populationbased analysis [J]. J Laparoendosc Adv Surg Tech A, 2009; 19(6): 745748.
6. Zhang H, Lin J, Liao Q, et al. Totally extraperitoneal laparoscopic hernioplasty: the optimal surgical approach [J]. Surg Laparosc Endosc Percutan Tech, 2009; 19(6): 501505.
7. Evans MD, Williams GL, Stephenson BM. Low recurrence rate after laparoscopic (TEP) and open (Lichtenstein) inguinal hernia repair: a randomized, multicenter trial with 5year followup [J]. Ann Surg, 2009; 250(2): 354355.
8. Maddern G, Karatassas A, Hensman C. Pain or gain: new innovations and trends in hernia repair [J]. ANZ J Surg, 2009; 79(11): 778780.
9. Van Nieuwenhove Y, Vansteenkiste F, Vierendeels T, et al. Open, preperitoneal hernia repair with the Kugel patch: a prospective, multicentre study of 450 repairs [J]. Hernia, 2007; 11(1): 913.
10. Kurihara Y, Yamakawa T, Yoshino M, et al. Experience with direct Kugel patch method for repair of adult inguinal hernia [J]. J Nippon Med Sch, 2008; 75(1): 2831.
11. 向国安，陈开运, 王汉宁, 等. 完全腹膜化腹腔镜腹腔内置片法与经腹腔腹膜前网片法治疗腹股沟疝比较 [J]. 中国普外基础与临床杂志, 2007; 14(5): 521523.
12. Dulucq JL, Wintringer P, Mahajna A. Laparoscopic totally extraperitoneal inguinal hernia repair: lessons learned from 3 100 hernia repairs over 15 years [J]. Surg Endosc, 2009; 23(3): 482486.
13. Mirilas P, Colborn GL, McClusky DA 3rd, et al. The history of anatomy and surgery of the preperitoneal space [J]. Arch Surg, 2005; 140(1): 9094.
14. 雷文章, 黄建朋. 腹膜前间隙无张力修补马鞍疝的体会 [J]. 中国普外基础与临床杂志, 2009; 16(2): 9294.
15. 朱绍辉, 王建国. 巴德3DMax补片完全腹膜外腹腔镜疝修补术21例报告 [J]. 中华疝和腹壁外科杂志(电子版), 2009; 3(3): 271274.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application of 3DMax Patch in Laparoscopic Inguinal Hernia Repair (Report of 18 Cases)

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