双侧腹股沟疝封堵修补术系列病例分析

D. V. Sharma, Dr. Virat R. Patel
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摘要

背景:腹股沟疝修补术是世界上最常用的外科手术之一。近年来外科技术的进步为Stoppa修补腹股沟疝铺平了道路;基于为腹股沟管提供坚固的后壁的原理,后壁在生理上是动态的和可移动的。目的:总结10例双侧腹股沟疝行stoppa修补术的病例,探讨其在技术和患者角度上的优势。方法:本研究于2022年6月至2022年12月在GCS医院进行。本研究共纳入10例患者,采用Stoppa开放式腹膜前聚丙烯网疝成形术。结果:该术式具有手术范围更广、可对所有疝部位进行潜在检查、手术时间短、术后疼痛发生率低、真正意义上的无张力、少缝线等固有优点。结论:这种先进的双侧腹股沟疝修补技术在早期活动、术后疼痛最小、瘢痕最小等方面效果良好,是双侧腹股沟疝患者的理想选择。
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A Case Series of Patients Operated for Stoppa Repair for Bilateral Inguinal Hernia
Background: Inguinal hernia repair is one of the most commonly performed general surgical procedures all across the world. Recent advancement in surgical techniques has paved way for the Stoppa’s repair for inguinal hernia; based on the principal of providing strong posterior wall to the inguinal canal which is both physiologically dynamic and mobile. Aims and Objectives: To study a case series of 10 patients operated for stoppa’s repair for bilateral inguinal hernia and its advantages in technicality and patient’s perspective. Methods: This study was carried out in GCS medical Hospital between June 2022 and December 2022. Total of 10 patients were included in this study which were managed by Stoppa’s open pre-peritoneal prolene mesh hernioplasty. Results: This procedure has inherent advantages of wider operative field, potential inspection of all hernia sites, decreased operative time and post op morbidity of pain and is tensionless and sutures less in its true sense. Conclusion: This advanced technique of bilateral inguinal hernia repair has excellent results in terms of early ambulation, minimal post-op pain, and minimal scar and so is an excellent option for patients of bilateral inguinal hernias.
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