Preperitoneal tension-free inguinal hernia repair via hypogastric midline incision
LIU Chun-fu
GONG Jin-wei
XU Jun
Abstract：Objective To explore the value of preperitoneal tension-free inguinal hernia repair via hypogastric midline incision. Methods The clinical data of 120 cases of inguinal hernia underwent the tension-free hernia repair with 3D-Max patch from April 2010 to October 2012 in Department of General Surgery,the Fourth Affiliated Hospital of Harbin Medical University were analyzed retrospectively. Among them,there were 98 cases of unilateral hernia,22 cases of bilateral hernia, 85 cases of inguinal hernia,30 cases of direct hernia,5 cases of recurrent hernia. Operation time, degree of comfort,complications and recurrence rate were recorded. Results The operation time was 20 min to 60 min. The mean operative time was 30 min for the cases with unilateral hernia and 50 min for the cases with both sides. The mean time of ambulation was 6 h. The mean hospitalization days were 4 days. Incision effusion occurred in 2 cases. Neither scrotal hematoma nor scrotal effusion nor urinary retention occurred. No recurrence occurred during follow-up for 6 months to 2 years. Conclusion Preperitoneal tension-free inguinal hernia repair via hypogastric midline incision has many advantages with short learning curve,simple operation,high safety,low recurrence rate,quick recovery after operation,mild foreign body discomfort and low incidence of chronic pain after a hernia repair,which is suitable for bilateral hernia and recurrent hernia especially.
Keywords：inguinal herniapreperitonealhypogastric midline incisiontension-free hernia repair
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 435-437 )