Hernia ring filling plain film and the traditional tension-free hernia repair A clinical comparison.docVIP

 PAGE \* MERGEFORMAT 6 Hernia ring filling plain film and the traditional tension-free hernia repair A clinical comparison [Keywords:] hernia ring filling the traditional plain film tension-free hernia repair Inguinal hernia repair is the main method of treatment of inguinal hernia, with modern anatomy and modern materials science continues to develop, its surgical techniques to be continuous improvement. In recent years, our hospital have been carrying out plain film tension, such as hernia repair ring filling, results were satisfactory, now a traditional hernia repair without tension with the plain film, hernia repair ring filling lessons learned are as follows. A clinical data 1998-2008 were treated 409 cases of inguinal hernia patients, of which 356 cases of male and female 53 cases; aged 18 to 76 years, mean 48 years old; the initial issuance of those 383 cases of recurrence, 26 cases; 30 patients with bilateral, unilateral 379 cases; 352 cases of oblique hernia, femoral hernia in 13 cases, 44 cases of direct hernia; traditional repair of 138 cases, flat sheet 142 cases of tension-free repair, hernia repair ring filling 129 cases. Two surgical methods 2.1 hernia ring filling repair of biological materials using the Bard hernia mesh-plug, specific methods: free spermatic cord, locate the hernia sac, the smaller, directly into the abdominal cavity was also larger after the hernia sac were transected at the neck, suturing inside the purse, separation transverse fascia in the preperitoneal space has fully exposed the hernia ring, to organize the middle of pliers clamp mesh-plug valve, filling petal-shaped mesh-plug, and Zhu Huanzhe cough increases abdominal pressure started to make mesh-plug formation, the outermost petals tile in the peritoneal before the gap, the second layer is fixed on the fascia around the peritoneum (slit 3 to 6-pin can be), and then behind the tile in the spermatic cord hernia plain film, pay attention to the bottom flat piece fix