Application experience of hernia sac fenestration.docVIP

 PAGE \* MERGEFORMAT 3 Application experience of hernia sac fenestration Hernia is a common disease in clinical surgery, and inguinal hernia is most common, the incidence rate of total abdominal hernia 75 ~ 90%, accounting for inguinal hernia in 80 to 95%, showing that its treatment importance. At present, surgery is still the first choice for treatment of inguinal hernia. Our hospital from 1995 to 2009 on the application of 98 patients with indirect inguinal hernia sac surgical fenestration good effect to prevent postoperative hernia sac fluid, described as follows: 1 Clinical data A total of 98 patients in this group of patients, all male, the youngest 8 years old, maximum 90 years old, unilateral in 86 patients (69 cases the right of the left side in 17 cases, bilateral in 12 cases, recovery of the 80 cases 16 cases of incarcerated , 2 cases of strangulated. sac postoperative hemorrhage in 1 case, 1%, and the remaining 97 patients no postoperative complications occurred hernia sac fluid, accounting for 99%. length of hospital stay for at least 2 days, up to 7 days average of 4.6 days. 2 surgical indications There are indications for surgery of all types of inguinal hernia sac fenestration can be implemented, but have been into the scrotal sac greater absolute indications. 3 Methods Conventional choice for inguinal hernia surgical procedure without any changes with the change, only the ligation of hernia sac transection, proximal order is completed, after distal ligation of bleeding, the incision made distal hernia sac flip, Mosquito hemostat with the hernia Ministry of the bottom and side wall, were removed according to the size of the hernia sac sac parietal area of #8203;#8203;0.5cm 1.0cm ~ 1.5cm 2.5cm size of the window can be 2 to 4, to facilitate the absorption of exudate within the hernia sac after surgery, to prevent the hernia sac fluid, after Needless to special treatment. 4 Notes 4.1 Intraoperative