Inguinal hernia surgery in the hernia sac to find difficulties in response to.docVIP

 PAGE \* MERGEFORMAT 8 Inguinal hernia surgery in the hernia sac to find difficulties in response to Author: Ye Wei-Xiong WANG Bing-Sheng Zhou Jincheng [Keywords:] inguinal hernia surgery hernia sac Since the classic Bassini hernia repair since the creation of a hundred years, the inguinal hernia surgical repair methods and materials have great progress and change [1]. But the literature on the conventional surgery failed to find less reporting on treatment of hernia sac, this study was to find hernia sac on the intraoperative difficulties related to the clinical strategy for a study. A clinical data 1.1 General information from January 1997 to January 2007 Jiande City, First People’s Hospital had 512 cases (side) inguinal hernia repair, patients find difficult hernia sac in 23 cases, 18 cases were male and 5 females, ages 7 to 87 years old, with an average (58.20 ± 16.61) years of age. Surgery, 6 cases diagnosed as sliding hernia; 10 cases of hernia sac in the location of hidden inside the inguinal canal; four cases of hernia sac is located outside the inguinal canal (two cases of femoral hernia, obturator hernia in 1 case, abdominal wall hernia in 1 case); the remaining 3 cases did not hernia sac can be found. 1.2 to find 20 cases of surgical hernia sac after the treatment according to the corresponding requirements of hernia repair. Hernia sac was not found in 3 cases, 2 of them consider the retroperitoneal adipose tissue down, surgery to remove excess fat tissue, and to reinforce the posterior wall of the inguinal canal; the other one cases of clear for the expansion of the great saphenous vein ball, no to be addressed. 1.3 Results 20 cases of hernia sac difficult to find all of those who follow-up of more than 1 year after operation we found a recurrence; 2 cases of hernia sac who clearly does not exist, postoperative follow-up (4 ~ 12 months) has not recur recurrence. 2 Discussion Inguinal hernia repair is the primary hospitals to carry out one