摘要目的 介绍在腹股沟疝前入路腹膜前无张力疝修补术中铺平OP补片的方法.方法 我们在2012年3月至2015年4月对1 528例患者应用补片卷曲铺网法、耻骨梳韧带缝合固定铺网法、耻骨结节处腹横筋膜缝合固定铺网法、辅助物支撑补片铺网法在腹膜前间隙铺展补片.结果 1 021例采用补片卷曲铺网法,64例采用耻骨梳韧带缝合固定铺网法,48例采用耻骨结节处腹横筋膜缝合固定铺网法,395例采用辅助物支撑补片铺网法,均能很满意地铺平补片.结论 补片卷曲铺网法、耻骨梳韧带缝合固定铺网法、耻骨结节处腹横筋膜缝合固定铺网法、辅助物支撑补片铺网法均是简单、方便、容易掌握的铺平补片的有效方法.

abstractsObjective To evaluate methods of OP mesh spreading in preperitoneal tension-free repair of inguinal hernia via open anterior approach.Methods The clinical data of 1 528 cases underwent preperitoneal tension-free repair of inguinal hernia via open anterior approach from March 2012 to April 2015 was analyzed retrospectively.The methods of mesh crimp spreading, pectineal ligament suture fixation, pubic tubercle suture fixation and auxiliary support were used.Results The mesh crimp spreading method was used in 1 021 cases, pectineal ligament suture fixation method was used in 64 cases, pubic tubercle suture fixation method was used in 48 cases, auxiliary support method was used in 395 cases.Meshes were all well spreaded.Conclusions The four methods of mesh spreading are effective, simple, convenient and easy to use in preperitoneal tension-free repair of inguinal hernia via open anterior approach.