Application of Transverse Fascia in Inguinal Hernia Repair_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIU Haifeng , GONG Xingtang.

Department of General Surgery, Lingtai County People’s Hospital, Lingtai 744400, Gansu Province, China;

Corresponding author：

Keywords：

Inguinal hernia; Transverse fascia; Inner ring reconstruction; Postoperative complications; Hernia repair

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Objective To investigate the application of transverse fascia in inguinal hernia repair.
Methods In this study, 617 patients underwent inguinal hernia repair between January 1990 and December 2005 in our hospital were included, which were divided into two groups according to different operative ways: transverse fascia method group (n=337) and Bassini method group (n=280). Then intraoperative results, postoperative complications, and rehabilitated results of patients in two groups were compared.
Results Compared with Bassini method group, the patients in transverse fascia method group did not show significant difference in operative time and blood loss during operation (P gt;0.05). The differences of severe postoperative pain, testicular swelling, the time of the body’s restore for normal activities, and recurrence rate of patients between two groups were significant (P lt;0.05), while the difference of hematoma of scrotum and infection of incisional wound (P gt;0.05).
Conclusion The strengthening of posterior wall by transverse fascia and reconstruction of inner ring is a simple and effective method for inguinal hernia repair.

Citation： LIU Haifeng,GONG Xingtang.. Application of Transverse Fascia in Inguinal Hernia Repair. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(7): 739-741. doi: Copy

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12.	杨玉辉, 雷跃华, 李曦. 善释D10在腹股沟疝腹膜前无张力修补术中的应用 [J]. 中国普外基础与临床杂志, 2009; 16(2): 105107.
13.	夏焱, 姜波健, 张彪, 等. 不同疝修补术治疗腹股沟疝的疗效对比分析 [J]. 中国普外基础与临床杂志, 2005; 12(3): 290293.
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16.	曾冬竹, 石彦, 雷晓, 等. 腹腔镜技术在急性腹股沟嵌顿疝中的应用价值（附11例报道） [J].中国普外基础与临床杂志, 2008; 15(12): 923925.
17.	孙亚彬. 腹股沟疝手术的医源性损伤 [J]. 中国现代药物应用, 2009; 3(19): 5354.

1. 唐健雄. 疝和腹壁外科: 必须重视当前腹股沟疝手术治疗中的一些问题 [J]. 临床外科杂志, 2009; 17(3): 149151.
2. 吴阶平, 裘法祖. 黄家驷外科学 [M]. 中册. 第6版. 北京: 人民卫生出版社, 1999: 913914.
3. 唐健雄. 认真对待腹股沟疝手术治疗中存在的问题 [J]. 老年医学与保健, 2009; 15(5): 259262.
4. 中华医学会外科学会疝和腹壁外科学组. 成人腹股沟疝、股疝手术治疗方案（修订稿） [J]. 中华普通外科杂志, 2004; 19(2): 126.
5. Gilbert AI. An anatomic and functional classification for the diagnosis and treatment of inguinal hernia [J]. Am J Surg, 1989; 157(3): 331333.
6. 马颂章, 韩加刚. 无张力疝修补手术的回顾和展望 [J]. 中国实用外科杂志, 2006; 26(11): 813814.
7. 肖乾虎, 张跃天. 浅谈腹股沟疝的发生机制 [J]. 中国实用外科杂志, 2006; 26(11): 891892.
8. 朱维继, 吴汝舟. 实用外科手术学 [M]. 北京: 人民卫生出版社, 2002: 461470.
9. 陈杰, 申英末, 刘素君, 等. 善愈腹膜前腹股沟无张力疝修补术 [J/CD]. 中华疝和腹壁外科杂志(电子版), 2008; 2(1): 45.
10. 严律南, 姚榛祥. 现代普通外科手术学 [M]. 北京: 中国协和医科大学出版社, 2001: 373380.
11. 钟志强. 三种腹股沟疝修补术治疗成人腹股沟疝的临床研究 [J]. 中国医药导报, 2009; 6(32): 3132.
12. 杨玉辉, 雷跃华, 李曦. 善释D10在腹股沟疝腹膜前无张力修补术中的应用 [J]. 中国普外基础与临床杂志, 2009; 16(2): 105107.
13. 夏焱, 姜波健, 张彪, 等. 不同疝修补术治疗腹股沟疝的疗效对比分析 [J]. 中国普外基础与临床杂志, 2005; 12(3): 290293.
14. 李基业, 杜俊东, 姚胜, 等. 无张力和传统腹股沟疝修补术患者术后内分泌应激反应比较观察 [J]. 中国普外基础与临床杂志, 2005; 12(2): 170172.
15. Ger R. The management of certain abdominal herniae by intraabdominal closure of the neck of the sac. Preliminary communication [J]. Ann R Coll Surg Engl, 1982; 64(5): 342344.
16. 曾冬竹, 石彦, 雷晓, 等. 腹腔镜技术在急性腹股沟嵌顿疝中的应用价值（附11例报道） [J].中国普外基础与临床杂志, 2008; 15(12): 923925.
17. 孙亚彬. 腹股沟疝手术的医源性损伤 [J]. 中国现代药物应用, 2009; 3(19): 5354.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application of Transverse Fascia in Inguinal Hernia Repair

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