上一頁

復發性腹股溝疝氣的無張力人工網修補經驗報告

健康情報站


由於人工網的普遍應用,腹股溝疝氣手術近20年來有極大的改變並有效的降低術後疼痛及復發率。但由官方及保險的數據分析,仍然有15%的疝氣手術對象是復發性疝氣的病人,這數字比例卻一直沒有什麼改變,復發性疝氣的手術相對較為困難,再復發率也高達30%。最新無張力疝氣手術自2001年引進國內後,我們的經驗顯示對原發性疝氣有很好的效果,因此我們也使用這種新方法來治療復發性疝氣。

2001-2016共有 447位、542邊的復發性疝氣接受個人無張力修補;男女比為20:1;年齡平均61.5歲(16~106歲);病人的復發情況(手術所見)均依Gilbert分類,術後第1天、6天及90天疼痛指數以VAS疼痛指數紀錄,並長期追蹤病人的再復發情況,使用的無張力方法為:人工網塞(175)、PHS (179)、Modified Kugel (188),72% 使用脊椎外麻醉,其他為局部麻醉(15)、全身麻醉(13)。 結果:右邊 (56%)、左邊 (29%)、雙側 (15%);直接型 (43%)、間接型 (44%)、合併型 (13%),前次修補至此次修補平均間隔55.2個月(1周至29年),手術時間平均44分(17~80分),平均術後住院1.4天(3小時至4天);併發症6%,包括尿儲積 (3)、睪丸萎縮 (1)、傷口感染或血腫 (2)及慢性傷口疼痛但皆輕微。長期追蹤再復發率為2%(86 % 追蹤率)。

結論:無張力人工網修補是目前復發性疝氣的最好治療選擇。

上一頁


留言


姓名:


email:


發表內容:



更多相關學識

108歲高齡者的疝氣手術

Posted on May 28th, 2020 by admin | 51 views

復發性腹股溝疝氣的無張力人工網修補經驗報告

Posted on May 25th, 2020 by admin | 8270 views

小兒復發性疝氣

Posted on May 25th, 2020 by admin | 39 views

疝氣及腹壁外科手術教科書

Posted on May 23rd, 2020 by admin | 75 views

2019 南京國際疝與腹壁外科高峰會

Posted on May 21st, 2020 by admin | 58 views

多次手術仍然復發的疝氣如何治療:個案專家討論

Posted on May 19th, 2020 by admin | 47 views

四面荷花三面柳,一城山色半城湖 ~ 濟南山東省立醫院泰山大課堂演講:無張力疝氣手術經驗

Posted on May 17th, 2020 by admin | 47 views

疝氣修補與闌尾手術

Posted on May 28th, 2018 by admin | 5866 views

從傳統手術到無張力手術:鼠蹊部疝氣治療的新里程

Posted on May 26th, 2018 by admin | 6149 views

歐洲疝氣醫學會(EHS)疝氣治療指引

Posted on May 22nd, 2018 by admin | 495 views

造口旁疝的腹腔鏡手術

Posted on May 19th, 2018 by admin | 32 views

第十五屆亞太疝氣醫學會: 峇里島 , Faculty speech

Posted on May 17th, 2018 by admin | 49 views

106年度【台灣醫療典範獎】得主

Posted on December 20th, 2017 by admin | 474 views

APHS腹股溝疝氣修補準則( Guidelines 2014)

Posted on January 13th, 2016 by admin | 1622 views

我的疝氣手術與教學

Posted on February 6th, 2015 by admin | 5943 views

出席第九屆亞太疝氣醫學會記行

Posted on July 30th, 2014 by admin | 1916 views

腹壁切口疝氣的治療

Posted on August 29th, 2012 by admin | 17304 views

以耻骨肌孔(MPO)之病理解剖為依據的無張力腹股 溝疝修補手術

Posted on May 14th, 2012 by admin | 4008 views

疝氣手術的新進展

Posted on April 10th, 2009 by admin | 21046 views

腹股溝疝氣手術方法比較的新實證醫學

Posted on December 16th, 2008 by admin | 12155 views

疝氣修補衛教資料

Posted on July 15th, 2008 by admin | 15177 views

疝氣手術方法的選擇,需不需要使用人工網?

Posted on November 21st, 2007 by admin | 30156 views

疝氣醫學會招募

Posted on July 13th, 2007 by admin | 4287 views

荷蘭的疝氣手術

Posted on May 7th, 2007 by admin | 6815 views

台灣疝氣醫學會成立大會 — 會議記錄

Posted on April 12th, 2007 by admin | 4777 views

疝氣醫學會發起

Posted on March 13th, 2007 by admin | 3838 views

疝氣醫學會籌備I

Posted on March 13th, 2007 by admin | 3333 views

疝氣醫學會籌備II

Posted on March 13th, 2007 by admin | 3497 views

台灣疝氣醫學會組織章程

Posted on March 13th, 2007 by admin | 3423 views

台灣疝氣醫學會logo

Posted on March 13th, 2007 by admin | 6398 views

台灣疝氣醫學會籌備期間徵求會員公告

Posted on March 13th, 2007 by admin | 5739 views

切口疝氣與腹疝氣的手術治療

Posted on March 13th, 2007 by admin | 12325 views

小兒的腹股溝疝氣

Posted on March 13th, 2007 by admin | 57555 views

傳統組織對組織修補到無張力手術鼠蹊部疝氣手術新進展(一般常識)

Posted on March 13th, 2007 by admin | 7561 views

復發性腹股溝疝氣的無張力人工網修補經驗報告

Posted on March 11th, 2007 by admin | 8588 views

亞太疝氣醫學會(APHS)

Posted on March 11th, 2007 by admin | 7742 views

認識疝氣

Posted on March 10th, 2007 by admin | 179311 views

何謂疝氣

Posted on March 9th, 2007 by admin | 38889 views