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中华疝和腹壁外科杂志(电子版) ›› 2018, Vol. 12 ›› Issue (06) : 428 -430. doi: 10.3877/cma.j.issn.1674-392X.2018.06.008

所属专题: 文献

论著

国产佰仁思生物补片在腹股沟疝无张力修补术中应用的体会
王文超1, 邢小平1,(), 郑志1   
  1. 1. 101300 北京市顺义区医院普外一科
  • 收稿日期:2018-03-16 出版日期:2018-12-18
  • 通信作者: 邢小平

Experience of domestic acellular tissue matrix in the tension-free inguinal hernioplasty

Wenchao Wang1, Xiaoping Xing1,(), Zhi Zheng1   

  1. 1. Department of General Surgery, Shunyi District Hospital, Beijing 101300, China
  • Received:2018-03-16 Published:2018-12-18
  • Corresponding author: Xiaoping Xing
  • About author:
    Corresponding author: Xing Xiaoping, Email:
引用本文:

王文超, 邢小平, 郑志. 国产佰仁思生物补片在腹股沟疝无张力修补术中应用的体会[J/OL]. 中华疝和腹壁外科杂志(电子版), 2018, 12(06): 428-430.

Wenchao Wang, Xiaoping Xing, Zhi Zheng. Experience of domestic acellular tissue matrix in the tension-free inguinal hernioplasty[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2018, 12(06): 428-430.

目的

探讨国产脱细胞基质生物补片(acellular tissue matrix,ACTM)在腹股沟疝无张力修补术中的应用价值。

方法

回顾性分析2017年8月至2018年3月,北京市顺义区医院32例使用ACTM行无张力疝修补术患者的临床资料,观察患者并发症情况并分析其预后。

结果

患者手术时间范围为35~75 min,平均45 min。平均住院日为5 d。术后伤口均Ⅰ期愈合,无切口感染等不良事件的发生,全部患者治愈出院。随访1、3、6个月均无复发,仅有1例患者出现切口周围少量积液,经处理后愈合良好。

结论

使用ACTM在腹股沟疝患者中行无张力疝修补手术并发症少,效果满意,切实可行。

Objective

To evaluate the value of domestic acellular tissue matrix (ACTM) in the tension-free inguinal hernioplasty.

Methods

The clinical data of 32 cases of inguinal hernia treated with ACTM via tension-free inguinal hernioplasty from August 2017 to March 2018 were analyzed retrospectively.

Results

The operation time was 35 to 75 minutes, average of 45 min. Postoperative hospital stay was 5 days. All the wounds were healed without wound infection as well as other adverse events, and all the patients were cured. No recurrence was found in 1, 3 and 6 months of follow-up after operation. Only 1 patient had a little of effusion around the incision and recovered well after treatment.

Conclusion

The method of Tension-free inguinal hernioplasty using ACTM has fewer complications, and it is effective and feasible.

[1]
Lichtenstein IL,Shulman AG,Amid PK, et al. The tension-free hernioplasty[J]. Am J Surg, 1989, 157(2): 188-193.
[2]
陈富强,申英末. 生物补片在疝和腹壁外科的应用及研究进展[J/CD]. 中华疝和腹壁外科杂志(电子版), 2016, 10(5): 364-368.
[3]
陈杰. 无张力疝修补术的类型和评价[J/CD]. 中华疝和腹壁外科杂志(电子版), 2008, 2(2): 1-3.
[4]
Kurzer M,Belsham PA,Kark AE. The Lichtenstein repair for groin hernias[J]. Surg Clin North Am, 2003, 83(5): 1099-1117.
[5]
Liu Y,Shen Y,Chen J. Effects of non-woven mesh in preperitoneal tension-free inguinal hernia repair: a retrospective cohort study[J]. Minerva Chirurgica, 2016, 72(4): 311-316.
[6]
David CS,Goldenberg A. Prospective ultrasonographic study of blood flow and testicular volume in patients submitted to surgical repair of inguinal hernia without using prosthesis[J]. Acta Cir Bras, 2018, 33(3): 268-281.
[7]
HerniaSurge Group. International guidelines for groin hernia management[J]. Hernia, 2018, 22(1): 1-165.
[8]
马颂章. 疝和腹壁外科的现状和疝材料学的进展[J]. 中国微创外科杂志, 2007, 7(12): 1115-1117.
[9]
Kulacoglu H. Current options in inguinal hernia repair in adult patients[J]. Hippokratia, 2011, 15(3): 223-231.
[10]
Wainwright DJ. Use of an acellular allograft dermal matrix (AlloDerm) in the management of full-thickness burns[J]. Burns, 1995, 21(4): 243-248.
[11]
Shen YM,Chen J,Tian ML, et al. Lichtenstein repair of indirect inguinal hernias with acellular tissue matrix grafts in adolescent patients: a prospective, randomized, controlled trial[J]. Surg Today, 2014, 44(3): 429-435.
[12]
Abatov N,Badyrov R,Abatova A, et al. Biological implants in abdominal wall hernia repair(review)[J]. Georgian Med News, 2016, 2016(251): 7-12.
[13]
Protasov AV,Krivtsov GA,Mikhaleva LM, et al. Effects of inguinal hernioplasty mesh implant on reproductive function[J]. Khirurgiia (Mosk), 2010,(8): 28-32.
[14]
Alberto G,Jacques M,Wagner M, et al. Efeitos da tela de polipropileno no testículo, epidídimo e ducto deferente de cães[J]. Acta Cir Bras, 2001, 16(4): 226-230.
[15]
Peiper C,Junge K,Klinge U, et al. The influence of inguinal mesh repair on the spermatic cord: a pilot study in the rabbit[J]. J Invest Surg, 2005, 18(5): 273-278.
[16]
Kordzadeh A,Liu MO,Jayanthi NV. Male infertility following inguinal hernia repair: a systematic review and pooled analysis[J]. Hernia, 2017, 21(1): 1-7.
[17]
申英末,陈杰,杨硕, 等. 脱细胞基质材料生物补片在青少年(6~18岁)患者腹股沟疝修补术中应用的研究[J/CD]. 中华疝和腹壁外科杂志(电子版), 2011, 5(1): 53-56.
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