Filling tension-free hernia repair inguinal hernia 58 cases of senile.docVIP

 PAGE \* MERGEFORMAT 11 Filling tension-free hernia repair inguinal hernia 58 cases of senile Keywords: tension-free hernia repair First proposed in 1986, Lichtenstein “tension-free hernia repair” concept and clinical application [1], is now gradually becoming the mainstream of inguinal hernia repair. Our hospital from April 2005 to June 2007 application of filling tension-free hernia repair inguinal hernia 58 cases of senile, the effect is better, these are as follows. A clinical data 1.1 General Information The group of 58 patients, 50 patients were male and 8 female, aged 60 to 84 years (mean 68.1 years); the first surgery in 53 cases, 5 cases of recurrence re-operation; 49 cases of oblique hernia, direct hernia in 9 cases; combined prostatic hyperplasia 44 cases, chronic bronchitis, emphysema in 22 cases, 20 cases of hypertension, chronic heart failure in 9 cases, 8 cases of diabetes. There are complications caught in the control of blood pressure, blood sugar, control, respiratory infections, the purposes of repair surgery. 1.2 Treatment Tack used in all the United States produced mesh-plug + plain film combination. Surgery are used epidural anesthesia, surgical incision with the traditional hernia repair the same attention to protecting the ilioinguinal nerve and internal iliac hypogastric nerve, intraoperative not do a wide range of inguinal anatomy, spermatic cord and the hernia sac of free, high free to the peritoneal outer fat layer. Directly back to a small hernia sac into the abdominal cavity, large hernia sac and close the hernia sac is the central cross-sectional population, which plunged into the abdominal cavity, not so high ligation of hernia sac remote exclusion. Into the appropriate size of the mesh-plug at the inner mouth will be mesh-plug base with transverse fascia suture 4 to 8-pin, in order to highlight the patient does not cough as a fixed standard. Will be placed on plain film behind the sp