Applied analysis of plasma tube in prevention of scrotal hematoma after inguinal hernia_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZHU Delun , LU Junwei , WANG Jingbo

First Surgical Department of The General Hospital of China National Petroleum Corporation of Sichuan, Chengdu 610213, P.R.China;

Corresponding?author：

ZHU Delun, Email: 122171320@qq.com

Keywords：

oblique inguinal hernia; scrotum hematoma; plasma tube; drainage

DOI：

10.7507/1007-9424.201703012

Video：

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Objective To investigate the value of applying closed continuous negative pressure drainage in preventing postoperative complications of inguinal hernia. Methods The clinical data of 107 adult male patients diagnosed with inguinal giant hernia (incarcerated 16 cases, non-incarcerated 91 cases) undergoing tension-free hernioplasty using the Ultrapro Hernia System (UHS) between April 2011 and June 2016 in our hospital were retrospective analyzed. Prophylactic use of antibiotics was not adopted except patients with incarcerated hernia, diabetes, or elderly. Multi-lateral hole plasma drainage tube were used in 61 patients, 46 cases without indwelling plasma tube. The postoperative scrotum pain, scrotal hematoma, scrotal effusion, and incision infection of two groups patients were observed. Results Of the 61 patients with plasma drainage, the mean drainage time was 2 days, the longest was 5 days. Postoperative scrotal pain was found in 2 cases (3.3%) without scrotal hematoma or scrotal effusion. Of the 2 patients, the drainage of 1 case was obstructed, the drainage was extubated and the patient was cured and discharged after 5 days by sucking the drainage tube using empty needle. The average hospital stay in this group was 4 days. Of the 46 patients without plasma drainage, 7 patients (15.2%) suffered scrotal pain, 7 patients (15.2%) suffered scrotal hematoma. The average hospital stay was 6 days. The incidence of scrotal pain and scrotal hematoma was significantly higher in patients without plasma drainage than those with drainage (P<0.05). The condition of scrotal hematoma would be improved after 1–3 times outpatient dressing change and repeated hematoma sucking. One case was not improved after repeated suction, the condition was improved after scrotum incision, drainage, and dressing. Conclusion Closed continuous negative pressure drainage potentially prevents oblique hernia pain and scrotal hematoma without increasing the incidence of incision infection or hospitalization time.

Citation： ZHU Delun, LU Junwei, WANG Jingbo. Applied analysis of plasma tube in prevention of scrotal hematoma after inguinal hernia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(7): 854-857. doi: 10.7507/1007-9424.201703012 Copy

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6.	Post S, Weiss B, Willer M, et al. Randomized clinical trial of lightweight composite mesh for Lichtenstein inguinal hernia repair. Br J Surg, 2004, 91(1): 44-48．.
7.	王松陽. 腹腔鏡下經腹腔腹膜前疝修補術治療腹股溝疝效果分析. 中國臨床新醫學, 2016, 9(1): 49-50.
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12.	羅國德, 曹永寬, 張林, 等. 殘端疝囊剝離聯合腹股溝管引流對巨大腹股溝斜疝術后陰囊并發癥的影響. 中華疝和腹壁外科雜志(電子版), 2014, 8(1): 21-22.
13.	張劍. 無張力疝修補術后切口及陰囊積液積血分析. 基層醫學論壇, 2012, 16(1): 61-62.
14.	胡飛, 倪燁, 朱雄輝, 等. 56 例巨大斜疝遠端疝囊處理方式的分析. 醫學信息, 2012, 25(1): 411-412.
15.	王麗珍, 楊志甫, 杜颋. 精索靜脈應用解剖學研究的臨床意義. 包頭醫學院學報, 2014, 30(1): 19-20.
16.	李志杰. 陰囊積液的高頻彩色多普勒超聲特征分析. 現代醫院, 2014, 14(10): 62-64.
17.	李江海, 王京立, 華玉明. 腹股溝疝人工補片修補術后復發再手術的臨床分析. 浙江臨床醫學, 2015, 17(2): 296-297.
18.	呂國慶, 李亮, 隋梁, 等. 腹股溝疝前入路與后入路無張力疝修補術療效比較. 海南醫學, 2011, 22(2): 26-28.
19.	翟東升, 鄭啟昌, 胡青剛, 等. 腹股溝疝無張力修補 1 251 例臨床分析. 中華疝和腹壁外科雜志(電子版), 2009, 3(2): 22-24.
20.	張瑩瑤, 王強, 王一品, 等. 40 例成年男性左側精索靜脈的解剖學研究. 中國心血管病研究, 2015, 13(4): 375-377.
21.	李亮, 方丹, 隋梁, 等. 多次手術與腹股溝疝術后血清腫關系的臨床分析. 河南外科學雜志, 2013, 19(5): 6-7.
22.	Cobb WS, Carbonell AM, Kallbaugh CL, et al. Infection risk of open placement of intraperitoneal composite mesh. Am Surg, 2009, 75(9): 762-768.
23.	王建鋒, 王耿澤, 厲冰, 等. 腹股溝疝修補術后醫院感染的病原菌分析與耐藥性監測. 中華醫院感染學雜志, 2015, 25(15): 3437-3439.
24.	楊杰, 何彪, 張俠均. 預防性應用抗菌藥物對腹股溝無張力疝修補術后切口感染效果的薈萃分析. 中華醫院感染學雜志, 2014, 24(19): 4753-4756.
25.	中華醫學會外科學分會疝和腹壁外科學組. 成人腹股溝疝診療指南(2014 年版). 中華疝和腹壁外科雜志(電子版), 2014, 8(3): 204-206.
26.	李建強. 腹股溝斜疝遠端疝囊的手術處置探討. 基層醫學論壇, 2012, 16(3): 24342-4343.
27.	王乾, 王英剛. 經腹股溝與陰囊切口治療睪丸鞘膜積液體會. 國際泌尿系統雜志, 2012, 32(4): 574-576.

1. 唐健雄. 腹股溝疝無張力修補手術的規范化問題. 中華普通外科學雜志, 2011, 26(2): 89-90.
2. 吳孟超, 吳在德. 黃家駟外科學. 中冊. 第 7 版. 北京: 人民衛生出版社, 2008: 1271-1282.
3. 吳孟超, 吳在德. 黃家駟外科學. 上冊. 第 7 版. 北京: 人民衛生出版社, 2008: 473.
4. Scott NW, McCormack K, Graham P, et al. Open mesh versus nonmesh for repair of femoral and inguinal hernia. Cochrane Database Syst Rev, 2002, 4: CD002197.
5. 張增偉, 楊曉亮. 腹股溝疝術后疼痛原因及其治療淺析. 醫學前沿, 2014, 27: 230-231.
6. Post S, Weiss B, Willer M, et al. Randomized clinical trial of lightweight composite mesh for Lichtenstein inguinal hernia repair. Br J Surg, 2004, 91(1): 44-48．.
7. 王松陽. 腹腔鏡下經腹腔腹膜前疝修補術治療腹股溝疝效果分析. 中國臨床新醫學, 2016, 9(1): 49-50.
8. Poelman MM, van den Heuvel B, Deelder JD, et al. EAES Consensus Development Conference on endoscopic repair of groin hernias. Surg Endosc, 2013, 27(10): 3505-3519.
9. 褚軍. 雙層引流在腹股溝嵌頓疝無張力修補術中的應用. 中華疝和腹壁外科雜志(電子版), 2014, 8(3): 37-39.
10. 胡立春, 羅竟勇. 免釘合完全腹膜外腹腔鏡疝修補術 37 例報告. 包頭醫學院學報, 2015, 31(11): 38-39.
11. 陳大偉, 史華俊, 劉開全, 等. 引流在腹股溝無張力疝修補術中的應用. 中華疝和腹壁外科雜志(電子版), 2010, 4(1): 28-30.
12. 羅國德, 曹永寬, 張林, 等. 殘端疝囊剝離聯合腹股溝管引流對巨大腹股溝斜疝術后陰囊并發癥的影響. 中華疝和腹壁外科雜志(電子版), 2014, 8(1): 21-22.
13. 張劍. 無張力疝修補術后切口及陰囊積液積血分析. 基層醫學論壇, 2012, 16(1): 61-62.
14. 胡飛, 倪燁, 朱雄輝, 等. 56 例巨大斜疝遠端疝囊處理方式的分析. 醫學信息, 2012, 25(1): 411-412.
15. 王麗珍, 楊志甫, 杜颋. 精索靜脈應用解剖學研究的臨床意義. 包頭醫學院學報, 2014, 30(1): 19-20.
16. 李志杰. 陰囊積液的高頻彩色多普勒超聲特征分析. 現代醫院, 2014, 14(10): 62-64.
17. 李江海, 王京立, 華玉明. 腹股溝疝人工補片修補術后復發再手術的臨床分析. 浙江臨床醫學, 2015, 17(2): 296-297.
18. 呂國慶, 李亮, 隋梁, 等. 腹股溝疝前入路與后入路無張力疝修補術療效比較. 海南醫學, 2011, 22(2): 26-28.
19. 翟東升, 鄭啟昌, 胡青剛, 等. 腹股溝疝無張力修補 1 251 例臨床分析. 中華疝和腹壁外科雜志(電子版), 2009, 3(2): 22-24.
20. 張瑩瑤, 王強, 王一品, 等. 40 例成年男性左側精索靜脈的解剖學研究. 中國心血管病研究, 2015, 13(4): 375-377.
21. 李亮, 方丹, 隋梁, 等. 多次手術與腹股溝疝術后血清腫關系的臨床分析. 河南外科學雜志, 2013, 19(5): 6-7.
22. Cobb WS, Carbonell AM, Kallbaugh CL, et al. Infection risk of open placement of intraperitoneal composite mesh. Am Surg, 2009, 75(9): 762-768.
23. 王建鋒, 王耿澤, 厲冰, 等. 腹股溝疝修補術后醫院感染的病原菌分析與耐藥性監測. 中華醫院感染學雜志, 2015, 25(15): 3437-3439.
24. 楊杰, 何彪, 張俠均. 預防性應用抗菌藥物對腹股溝無張力疝修補術后切口感染效果的薈萃分析. 中華醫院感染學雜志, 2014, 24(19): 4753-4756.
25. 中華醫學會外科學分會疝和腹壁外科學組. 成人腹股溝疝診療指南(2014 年版). 中華疝和腹壁外科雜志(電子版), 2014, 8(3): 204-206.
26. 李建強. 腹股溝斜疝遠端疝囊的手術處置探討. 基層醫學論壇, 2012, 16(3): 24342-4343.
27. 王乾, 王英剛. 經腹股溝與陰囊切口治療睪丸鞘膜積液體會. 國際泌尿系統雜志, 2012, 32(4): 574-576.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Applied analysis of plasma tube in prevention of scrotal hematoma after inguinal hernia

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