Objective To evaluate the clinical effect of Easy Prosthesis D-10 on open preperitoneal groin tension-free hernioplasty. Methods The operative time, operation-correlated complications, hospital stay and recent follow-up findings of 63 patients underwent preperitoneal groin tension-free hernioplasty were analyzed from October 2006 to April 2008. Results No case died in perioperative period. The average operative time was (47.6±10.5) minutes. None of incision infection and scrotal hydrocele occurred. The average hospital stay was (7.7±2.1) days. During follow-up period of 6 to 24 months, no recurrence, chronic pain and foreign body sensation were found. Conclusion The open preperioneal groin tension-free hernioplasty by Easy Prosthesis D-10 is safe and reliable, especially for the inguinal hernia with large hernia ring or defect of transversalis fascia and recurrent hernia.
目的探讨腹壁大切口疝和巨大切口疝治疗经验。方法对我院采用补片行开放式腹壁大切口疝和巨大切口疝修补术的51例患者临床资料进行回顾性分析。结果采用肌前补片修补法3例，肌肉间补片修补法3例，肌后腹膜前补片修补法39例，腹腔内补片修补法6例。 手术时间109～195 min，平均135.2 min; 术中出血15～90 ml，平均35.6 ml；术中无血管和内脏损伤等并发症。 术后3～7 d（平均4.9 d）下床活动; 住院时间7～19 d，平均9.7 d。 2例患者术后出现浆液肿，经穿刺抽吸、负压吸引和腹带加压包扎后治愈。51例患者随访12～36个月（平均24.5个月），3例（5.9%）患者复发，后行开放式腹腔内补片修补手术，恢复良好，无再复发。所有病例无慢性疼痛。结论应用补片行开放式腹壁大切口疝和巨大切口疝修补术是一种安全、可靠的方法，复发率低。