局麻下普理灵疝装置修补45例老年患者腹股沟疝临床效果分析

目的：总结局麻下应用普理灵疝装置（PHs）治疗老年腹股沟疝的效果。方法：应用1％利多卡因进行腹股沟区浸润阻滞麻醉，对45例老年（〉65岁）腹股沟疝行PHS开放式无张力疝修补术。结果：45例均治愈，平均手术ININ46min，平均住院5d。术后出现尿潴留5例，阴囊积液1例，无术后切口及深部感染、慢性疼痛、睾丸萎缩等并发症发生。随访5～24个月（平均12个月）无复发，无明显异物感。结论：局麻下应用PHS治疗老年腹股沟疝简单、安全、可靠。

Application of inguinal hernia repair with Prolene Hernia System under local anesthesa in elderly patients

Objective：To summarize ~e clinical experience of tension-free repair for inguinal hernia by Prolene Hernia System （PHS） under local nesthesia.Methods：45 cases of inguinal hernia were analyzed retrospectively.Tension-free herniorrhapy using PHS patch was performed in all cases under local anesthesia. Results：All the eases were cured.Operation time was 25-60 min,no complication of incision infection and haematoma was found.The follow-up period ranged from 4-14 months, no recurrence and foreign body sensation in inguinal region were observed.Conchlsion：PHS herniorraphy under local anesthesia is a simple,safe and effective treatment for the elderly patients.specially suit for aged patients with weak posterior wall of inguinal duct, large defect and general complications.