关键词: 嵌顿性股疝, 经腹直肌腹膜前联合腹腔内入路法, McVay术

Abstract: Objective To study the clinical efficacy of transabdominal rectus abdominis preperitoneal combined with the intraperitoneal approach in the treatment of incarcerated femoral hernia. Method A prospective study was conducted on 56 cases of incarcerated femoral hernia admitted to the Surgery Department of Gastroenterology and Hernia from May 2019 to January 2022.The experimental group(30 cases) was treated with transabdominal rectus abdominis preperitoneal combined with intraperitoneal approach,and the control group(26 cases) was treated with traditional Mcvay repair.The operative time,wound length,postoperative length of stay,expenses,postoperative complications(wound infection rate,chronic discomfort and postoperative recurrence) were observed and compared between the two groups. Result Shorter operative time,shorter length of wound and less chronic discomfort in the experimental group were found than those in the control group(P＜0.05).There were no statistically significant differences in length of stay,expenses,wound infection rate,seroma severity and postoperative recurrence(P＞0.05). Conclusion Compared with McVay repair,the transabdominal rectus abdominis preperitoneal combined with the intraperitoneal approach has the characteristics of simple operation, short time and low incidence of chronic discomfort in the operative area.

Key words: incarcerated femoral hernia, transabdominal rectus abdominis preperitoneal combined with the intraperitoneal approach, mcvay repair