腹膜前无张力疝修补临床分析及常见并发症的处理 3（Clinical analysis of preperitoneal tension-free hernia repair and treatment of common complications 3）.docVIP

腹膜前无张力疝修补临床分析及常见并发症的处理 3（Clinical analysis of preperitoneal tension-free hernia repair and treatment of common complications 3） Clinical analysis of preperitoneal tension-free hernia repair and treatment of common complications Inguinal hernia is a common disease in Department of general surgery, and it is the only way to cure inguinal hernia. In 1986, Lichtentein, an American physician, first proposed the concept of tension-free hernia repair. The operation no longer destroys the normal anatomy. In 1999, Kugel and Lichtentein improved the procedure and applied it to the clinic. The placement of the patch in the peritoneum is more in line with the physiological structure of the human body. At present, preperitoneal tension-free hernia repair has become the main mode of clinical treatment of hernia. The operation method of preperitoneal tension-free hernioplasty is introduced as follows: 1, preoperative inguinal hernia occurs in the elderly, more complications, such as hypertension, diabetes, coronary heart disease, chronic obstructive pulmonary disease, prostate hyperplasia, constipation and other treatment, preoperative preparation and preoperative examination, and other diseases, can significantly reduce complications. The blood pressure of patients with hypertension for the best control in the 150/100mmHg positive patients with coronary heart disease; heart function; benign prostatic hyperplasia patients with nocturia should be reduced to less than 2 times, the residual urine volume less than 100 ml, emphysema patients to improve lung function, no cough, no shortness of breath, no asthma attack asthma patients. Constipated patients were given laxatives three days before surgery to adjust their bowel habits. 2, material: choose BARD companys bard hernia repair flat film. 3. Anesthesia: continuous epidural anesthesia or local nerve block anesthesia. 4, operation method: do oblique inguinal incision, about 6 cm long, cut the skin, subcutaneous tissue, cut open the e