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腔镜Lichtenstein无张力修补术治疗腹股沟疝的临床观察
Clinical observation of laparoscopic Lichtenstein hernia repair in the treatment of inguinal hernia

微创医学 201606期 页码:860-862

作者机构:1 桂林医学院第二附属医院胃肠外科,广西桂林市541199;2 桂林医学院附属医院胃肠外科,广西桂林市541001

基金信息:作者简介:田小林(1956~),男,本科,教授,研究方向:疝外科、胃肠外科、微创外科。

DOI:DOI:10.11864/j.issn.1673.2016.06.15

  • 中文简介
  • 英文简介
  • 参考文献
目的探讨腔镜Lichtenstein无张力修补术治疗腹股沟疝的效果。方法对一例成人腹股沟疝患者,全麻下于腹股沟区外上方选择观察孔和两个操作孔,腹外斜肌腱膜深面分离、显露腹股沟管各结构,分离精索并高位离断,结扎疝囊,于精索后完成Lichtenstein无张力修补术。结果手术顺利,术后无并发症,于术后第2天出院,随访3月无复发。结论腔镜Lichtenstein无张力修补术可以作为腹股沟疝的治疗手段,具有微创、美容、恢复快、无明显并发症等效果。
ObjectiveTo explore the clinical effect of laparoscopic Lichtenstein hernia repair in the treatment of inguinal hernia. MethodOne observation hole and two operating hole were choose above the groin area under the general anesthesia; the structures of the inguinal canal were separated and revealed in the deep surface of aponeurosis of obliquus externus abdominis; the spermatic cord was separated and hernial sac was highly divided and ligatured,and then Lichtenstein tension-free repair was completed after the spermatic cord. ResultsSurgery was successful and without postoperative complications; the patient was discharged in the second day after operation and was followed up for 3 months without recurrence. ConclusionLaparoscopic Lichtenstein tension-free repair can be used as inguinal hernia treatment,with minimally invasive, beauty, quick recovery and no obvious complications.

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