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中华疝和腹壁外科杂志(电子版)

中华疝和腹壁外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (04) : 369 -375. doi: 10.3877/cma.j.issn.1674-392X.2024.04.003

综述

腹腔镜下腹股沟疝修补术后并发症及防治进展
李康虎1, 王继伟2, 王光远1,†()   
  1. 1. 563000　贵州，遵义医科大学第一临床学院；553000　贵州，六盘水市人民医院普外科
    2. 563000　贵州，遵义医科大学第一临床学院
  • 收稿日期:2024-05-18 出版日期:2024-08-18
  • 通信作者: 王光远
  • 基金资助:
    吴阶平医学基金会临床科研专项资助基金(320.6750. 2021-07-3)

Progress in prevention and treatment of postoperative complications of laparoscopic inguinal hernia repair

Kanghu Li1, Jiwei Wang2, Guangyuan Wang1,†()   

  1. 1. The First Clinical College, Zunyi Medical University, Zunyi 563000, Guizhou Province, China; Department of General Surgery, The Peoples' Hospital of Liupanshui City, Liupanshui 553000, Guizhou Province, China
    2. The First Clinical College, Zunyi Medical University, Zunyi 563000, Guizhou Province, China
  • Received:2024-05-18 Published:2024-08-18
  • Corresponding author: Guangyuan Wang
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李康虎, 王继伟, 王光远. 腹腔镜下腹股沟疝修补术后并发症及防治进展[J]. 中华疝和腹壁外科杂志(电子版), 2024, 18(04): 369-375.

Kanghu Li, Jiwei Wang, Guangyuan Wang. Progress in prevention and treatment of postoperative complications of laparoscopic inguinal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(04): 369-375.

腹股沟疝是发生在腹股沟区域的疝，是各种类型的疝中最常见的一种。腹腔镜腹股沟疝修补术（LIHR）是治疗腹股沟疝的主要手术方式，约占外科总手术量的10%，术后并发症发生率在2%～20%。早期并发症有手术切口疼痛、尿潴留、手术部位的血肿/血清肿、感染等；晚期并发症有慢性疼痛、性功能障碍、补片感染及疝复发。术后并发症的发生易引起患者心理焦虑、造成患者躯体不适、延长患者康复时间、消耗额外的医疗资源，严重影响患者生活质量。如何减少术后并发症，加速康复，提高患者就医满意度是目前关注重点。本文通过对LIHR术后并发症的类型、发生原因、危险因素、干预措施进行综述，以提前识别高危患者、个体化控制危险因素，并采取有效干预措施，以期减少腹股沟疝术后并发症的发生。

关键词: 疝，腹股沟, 疝修补术, 腹腔镜, 术后并发症, 血清肿, 尿潴留, 慢性疼痛, 性功能障碍

Inguinal hernia is hernia that occurs in the inguinal region and is the most common type of various hernias. Laparoscopic inguinal hernia repair (LIHR) is currently the main surgical procedure for inguinal hernia in clinical practice, accounting for approximately 10% of all surgical procedures, with various complication rates ranging from 2% to 20%. Early complications include surgical incisional pain, urinary retention, hematoma/seroma at the surgical site, and surgical site infection; late complications include chronic pain, sexual dysfunction, mesh infection, and hernia recurrence. Postoperative complications contribute to psychological distress, physical discomfort, longer recovery times, extra medical expenses, and a substantial decline in patients' quality of life. How to reduce postoperative complications, accelerate recovery, and improve patients' satisfaction with medical care is the current focus of attention. This article reviews the types, causes, risk factors, and interventions of postoperative complications of LIHR, to identify high-risk patients in advance, control risk factors individually, and adopt effective interventions, to reduce the occurrence of postoperative complications of inguinal hernia.

Key words: Hernia, inguinal, Herniorrhaphy, Laparoscopes, Postoperative complications, Seroma, Urinary retention, Chronic pain, Sexual dysfunction
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