Marlex tension-free inguinal hernia repair 35 cases reported.docVIP

 PAGE \* MERGEFORMAT 11 Marlex tension-free inguinal hernia repair 35 cases reported Keywords: patch polypropylene tension-free inguinal hernia repair Abdominal hernia is a common disease in recent years as people in-depth understanding of anatomy of the groin area and synthetic materials, the development of scientific progress, tension-free hernia repair of the concept of attention. Open space repair of inguinal hernia preperitoneal hernia surgery has become a hot area. Our hospital since June 2003 to December 2007 patch using polypropylene tension-free inguinal hernia repair 35 cases, satisfactory effect, the report is as follows. A clinical data 1.1 General Information 35 patients, both male, aged 20 to 75 years, with an average 46.6 years of age. By the Chinese Medical Association, and the abdominal wall hernia surgery branch surgery group in 2003 proposed classification criteria for adult inguinal hernia [1]: I type 15 cases, II type in 10 cases, III-type, 8 cases, IV-type 2 patients. 30 cases of unilateral inguinal hernia, bilateral inguinal hernia in 2 cases, unilateral direct inguinal hernia 3 cases. Which incarcerated oblique hernia in 1 case, incarcerated direct hernia in 1 case. Course of the disease from 3 months to 20 years, an average of 4.7 years. Past history of a lower abdominal surgery in 4 cases. Combined with benign prostatic hyperplasia in 5 cases, combined cardiovascular and chronic respiratory diseases in 11 cases. 1.2 Materials With Johnson amp; Johnson polypropylene patch. 1.3 surgical Adopt continuous epidural anesthesia, the anterior superior iliac spine and pubic tubercle to connect the midpoint of an oblique incision for a length of about 3 ~ 5cm, followed by incision of conventional skin, subcutaneous tissue, external oblique aponeurosis, to protect internal iliac hypogastric nerve, ilioinguinal nerve and genitofemoral nerve, free spermatic cord to find the hernia sa