疝,腹

摘要： 目的 分析腹部CT和MRI诊断腰疝的价值.方法 回顾性分析75例临床诊断腰疝患者,观察其CT及MRI表现.75例均接受CT平扫,其中65例接受CT增强检查,20例接受MRI平扫及增强检查.结果 75例中,CT共检出79处腰疝,MRI共检出21处腰疝(其中1例为双侧病变),均表现为经腹后外侧壁缺损突出至腰背部的软组织肿块,邻近肌肉受压变薄/萎缩,其中75处(75/79,94.94％)为腰上三角疝,3处(3/79,3.80％)为腰下三角疝,1处(1/79,1.27％)为弥漫性腰疝.75例中,39例(39/75,52.00％)为右侧腰疝,32例(32/75,42.67％)为左侧、4例(4/75,5.33％)为双侧腰疝.疝囊平均最大径(3.83±1.82)cm;59个疝囊呈烧瓶样或椭圆形,20个类圆形或扁丘状;疝环平均最大径(2.13±1.22)cm;疝囊密度或信号因疝内容物不同而有所不同,66处(66/79,83.54％)疝内容物为脂肪组织,10处(10/79,12.66％)为结肠,2处(2/79,2.53％)为多脏器疝出,1处(1/79,1.27％)为肝脏.MRI均清楚显示病变处深筋膜缺损及肌层,而CT显示疝囊及疝环、观察相邻骨骼更佳.结论 腰疝CT及MRI表现具有一定特征性,二者相结合有利于提高术前诊断准确率.

摘要： 探讨完全内镜下内脏囊分离技术(TVS)在腹壁疝治疗中的应用,总结手术操作流程,分析其安全性和有效性.选取2019年12月至2020年12月在浙江大学附属金华医院接受TVS技术修补21例(男4例,女17例,年龄31～79岁)腹壁疝患者,术中置入大张中量聚丙烯网片加强修复.手术适应证:原发性及继发性腹壁缺损,包括脐疝、中上腹部白线疝、腰疝、切口疝和造口旁疝.TVS的技术细节按照手术规范执行.结果 21例手术均获得成功,其中有2例因腹膜前建腔失败和前缺损关闭困难而中转开腹.平均手术时间140(70～260)min.术后伤口疼痛轻,术后第1天平均疼痛视觉模拟评分(VAS)2.5分(1～4分).术后随访时间6个月以上,未见复发病例.总之,TVS技术在腹壁疝中的应用是安全可行的,创伤少,可重复性高,是治疗腹壁疝的一种很好的技术补充.

摘要： 先天性横结肠系膜裂孔疝临床上少见,本文报告1例因出现肠梗阻症状收治入院,影像学检查示空肠起始部团块误诊为小肠肿瘤的患者,术中探查证实为先天性横结肠肠系膜裂孔疝.行疝囊松解,肠系膜裂孔修补术后,患者痊愈出院.本文旨在提高临床医生对该病的认识,减少误诊.

摘要： Objective To investigate the clinical features, diagnosis and treatment of colorectal cancer in patients with incarcerated extracorporeal hernia. Methods The clinical manifestations, diagnosis and treatment of 9 cases of incarcerated hernias combined with colorectal cancer from January 2012 to December 2017 were retrospectively analyzed. Results All the patients were treated with surgery. Three cases underwent Hartmann surgery and incarcerated release, high ligation of hernia sac; 2 cases underwent tumor resection and tension-free hernia repair; 1 case underwent necrotic bowel resection, tumor resection and ileal stoma and tension-free hernia repair; 1 case underwent transverse colostomy and incarcerated release, high cyst ligation; 1 case underwent tension-free hernia repair and limited colon cancer radical resection; 1 case underwent high ligation of the hernia sac and limited tumor resection. Intraoperative and postoperative pathology confirmed that this group was all incarcerated abdominal hernia combined with colorectal cancer. There were 4 patients misdiagnosed before surgery. Conclusions The diagnosis and treatment often ignore the presence of colorectal cancer due to the typical clinical manifestations of incarcerated abdominal hernia. The preoperative misdiagnosis rate is high. Completing CT scans before surgery can help clarify the diagnosis and select a reasonable surgical approach.%目的 探讨老年嵌顿性腹外疝合并结直肠癌患者的临床特点和诊治方法.方法回顾性分析2012年1月至2017年12月收治的9例嵌顿性腹外疝合并结直肠癌患者的手术情况和诊治过程.结果 9例患者均行手术治疗.3例行Hartmann术+嵌顿松解、疝囊高位结扎术,2例行肿瘤切除术+无张力疝修补术,1例行坏死肠管切除、肿瘤切除+回肠末端造口+无张力疝修补术,1例行横结肠造口+嵌顿松解、疝囊高位结扎,1例行无张力疝修补术+限期结肠癌根治术,1例行疝囊高位结扎+限期肿瘤切除术.术中和术后病理证实9例患者均为嵌顿性腹外疝合并结直肠癌,术前误诊4例.结论 诊治中常因嵌顿性腹外疝的典型临床表现而忽略结直肠癌的存在,术前漏误诊率高,术前完善CT检查有助于明确诊断合理选择术式.

摘要： 目的 探讨心理干预对经腹腹膜前疝修补术患者围手术期的效果.方法 选取2011年1月至2015年1月湖北省恩施土家族苗族自治州中心医院胃肠外科收治的198例腹股沟疝患者,按照随机数字表法将患者随机分为对照组98例和观察组100例.对照组予以常规手术健康宣传教育,观察组予以系统的心理干预,比较2组患者术后当天及术后1个月患侧腹股沟不适感(即暂时性神经感觉异常)及疼痛感发生率、住院期间常见并发症发生率和正常活动恢复时间等、手术后1个月的生活质量及健康行为情况.结果 观察组患者住院时间[(3.4 ±0.8)d vs (3.4±0.6)d]、术后正常活动恢复时间[(1.0 ±0.4)d vs (1.23 ±0.4)d],均明显短于对照组(P＜0.05);观察组患者并发症[尿潴留(4.00％ vs 10.20％)、血肿(4.00％ vs9.18％)]发生率明显低于对照组(P＜0.05).术后1个月,观察组患者的VAS评分[(0.99±0.17)vs (2.73 ±0.85)]、腹股沟不适感发生率(2.00％ vs 6.12％)明显低于对照组.干预后1个月,观察组患者的生活质量明显高于对照组,健康行为发生率明显高于对照组(P＜0.05).结论 对经腹腹膜前疝修补术围手术期患者实施心理干预,能有效缓解患者围手术期的不适感及疼痛,减少并发症的发生,缩短患者的住院时间,并有效改善患者术后1个月的生活质量及健康行为情况.%Objective To study the psychological intervention for patients with transabdominal preperitoneal hernia repair.Methods From January 2013 to January 2015,198 cases of inguinal hernia patientswho were admitted to Enshi Tujia and Miao Autonomous Prefecture Central Hospital were enrolled.According to random number table method,patients were randomly divided into control group (n =98) and observation group (n =100).control group received health propaganda and education to conventional surgery,and observation group were given psychological intervention system.The incidence of groin discomfort (i.e.temporary nerve paresthesia) and painon the operating day and at 1 month after operation were compared;thecommon complications during hospitalization,the recovery timeback to normal activity,the quality of life and health behavior at 1 month after operation were compared and analyzed.Results The length of hospital stay was shorter in patients of the observation group [(3.4 ± 0.8) days vs (3.4 ± 0.6) days] (P ＜ 0.05),and also the postoperative recovery time were significantly shorter than the control group[(1.0 ±0.4) days vs (1.2 ± 0.4) days] (P ＜ 0.05).The complications incidence of patients [urinary retention (4.00％ vs 10.20％),hematoma (4.00％ vs 9.18％)] was significantly lower in the observation group (P ＜ 0.05).At 1 month after operation,the VAS scoreof the observation group [(0.99 ±0.17) vs (2.73 ±0.85)] and the incidence of groin discomfort (2.00％ vs 6.12％),were significantly lower than that of the control group.At 1 month after intervention,the quality of life and heal behavior of patients in observation group was obviously higher than that of control group (P ＜ 0.05).Conclusion For the perioperative period ofpatients who undergoing transabdominal preperitoneal hernia repair,the psychological intervention can effectively alleviate the discomfort and pain of patients perioperative,reduce the occurrence of complications,shorten the length of hospital stay,and effectively improve the quality of life and health behavior of patients within 1 month after operation.

摘要： Objective To explore the clinical outcome of laparoscopic and traditional open abdominal incisional hernia repair for overweighted patients.Methods From April 2007 to October 2015,forty-five overweighted patients with abdominal incision hernia undergoing surgical treatment were analyzed retrospectively,including 24 cases in laparoscopic group and 21 cases in open group.Statistical analysis were performed by using SPSS19.0 software.The measurement data such as operation time,hospital stay,blood loss,postoperative pain scores were expressed as ((x) ± s),and were examined by using t test.Count data such as complication rate and recurrence were examined by using x2 test,A P value ＜ 0.05 was considered as statistically significant difference.Results There were significant difference between two groups in terms of operation time of (76 ± 19.3) min vs (96 ±21.2) min,hospital stay (7.4 ±2.3) d vs (9.1 ± 1.2) d,intra-operative blood loss of (23 ±9.5) ml vs (185 ±32.4) ml,postoperative pain scores of (3.0 ± 0.8) vs (6.3 ± 0.9),(t =3.291,t =3.162,t =22.892,t =12.073 respectively,P ＜ 0.05).There was no significant difference in postoperative recurrence rate (x2 =1.416,P ＞ 0.05).Conclusion Laparoscopic incisional hernia repair has advantages of mini-invasive,rapid recovery,less complications,which is more suitable for overweighted patients with abdominal incisional hernia.%目的 探讨腹腔镜与传统开放修补术治疗超重与肥胖患者腹壁切口疝的临床疗效.方法 回顾性分析2007年4月至2015年10月收治的45例超重和肥胖的腹壁切口疝患者的临床资料,其中腹腔镜手术组24例,传统开放手术组21例.比较两组患者的一般资料和手术相关情况.所得数据采用SPSS 19.0统计学软件进行处理.手术时间、住院时间、术中出血量、术后疼痛评分情况等计量数据用((x)±s)表示,采用t检验;术后切口并发症发生率和复发率等计数资料用率表示,采用x2检验;P ＜0.05为差异有统计学意义.结果 腹腔镜手术组手术时间(76±19.3) min、住院时间(7.4±2.3)d、术中出血量(23±9.5)ml均少于传统开放手术组(96 ±21.2) min、(9.1±1.2)d和(185±32.4) ml(t=3.291,t=3.162,t=22.892,P均＜0.05);术后疼痛程度(3.0±0.8)低于传统开放手术组(6.3±0.9)(t=12.073,P＜0.05);术后切口并发症发生率低于传统开放手术组(x2=5.017,P＜0.05);但两组患者在复发率方面无明显差异(x2=1.416,P＞0.05).结论 腹腔镜修补术治疗超重与肥胖腹壁切口疝患者手术创伤小、术后恢复快,切口并发症少,值碍提倡.

摘要： Objective The purpose of the study was to identify the most frequently used nursing diagnoses,interventions,outcomes and linkages using standardized nursing terminologies for elderly patients with abdominal external hernia surgery.Methods For this study a descriptive design was used.The frequently used NANDA-Ⅰ,NIC,NOC,and NNN linkages were identified through 38 elderly patients with abdominal external hernia surgery who were admitted in hospital from March to August in 2014.Data were analyzed by SPSS17.0.Results The finding showed the most frequently used 5 nursing diagnoses were activity intolerance,impaired tissue integrity,deficient knowledge,chronic pain,and risk for falls,the frequency were 15.51％(38/245),15.51％(38/245),15.10％(37/245),14.69％(36/245) and 14.69％(36/245),the most frequently used 5 nursing outcomes were activity tolerance,ambulation,tissue integrity (skin and mucous membranes),wound healing (primary intention) and knowledge (diet) the frequency were 10.05％(38/378),10.05％(38/378),10.05％(38/378),10.05％(38/378) and 9.79％(38/378); the most frequently used 5 nursing interventions were environmental management (comfort),positioning,exercise therapy (ambulation,) incision site care and environmental management the frequency was all 6.96％(38/546).The most frequently used top 10 NNN linkages were also identified in this study.Conclusions The most frequently used NANDA-Ⅰ,NIC,NOC,and NNN linkages for patients with abdominal external hernia surgery from this study not only offer new knowledge to nurses but also provide scope of evidence-based nursing research in abdominal external hernia clinics.%目的 应用护理诊断、护理结局和护理措施链接(NNN链接)的方法确定老年腹外疝患者术后常用的护理诊断、护理结局、护理措施及其链接.方法 本研究为描述性研究,以2014年3～8月在某三级甲等医院行腹外疝手术的38例老年患者为研究对象,收集每位腹外疝患者术后的护理诊断、护理结局、护理措施及其链接,数据采用SPSS 17.0软件进行统计学描述.结果 5项使用频率最多的护理诊断分别为活动无耐力、组织完整性受损、知识缺乏、慢性疼痛和有摔倒的危险,频率分别为15.51％(38/245)、15.51％(38/245)、15.10％(37/245)、14.69％(36/245)和14.69％(36/245).5项使用频率最多的护理结局为活动耐力、离床活动、组织完整性(皮肤和黏膜)、伤口愈合(Ⅰ期愈合)和知识(饮食),频率分别为10.05％(38/378)、10.05％(38/378)、10.05％(38/378)、10.05％(38/378)和9.79％(37/378).5项使用频率最多的护理措施为环境管理(舒适)、体位、运动疗法(步行)、切口护理和环境管理(安全),频率均为6.96％(38/546).并且确定了10项使用频率最多的NNN链接.结论 护理诊断、护理结局、护理措施及NNN链接的确定不仅为腹外疝护理的研究领域提供了新的知识,而且也为临床开展腹外疝循证护理的研究提出了新的视角.

摘要： 总结了6例腹股沟Littre疝患儿行Meckel憩室楔形切除或肠管切除+肠吻合术+疝囊高位结扎术的术后护理.护理重点包括:重视腹股沟切口和阴囊处的管理,加强管路维护,严密观察切口及排便的情况,注意腹部体征的变化,有针对性地处理发热,实施全肠外营养的护理,积极防范并发症.本组6例术后患儿随访7个月至3年,均无疝复发及肠粘连等并发症发生.

摘要： 目的 探讨改良腹直肌推徙术治疗腹腔扩容术后巨大计划性腹疝的效果. 方法 回顾性分析7例巨大计划性腹疝患者的临床资料,其中男4例,女3例;平均年龄43.4岁.合并造口4例,胰瘘1例,肠瘘1例,胆囊炎1例.所有患者均接受改良腹直肌推徙术治疗,行确定性腹壁重建,计划性腹疝至确定性重建的平均时间为6.4个月. 结果 7例均救治成功.平均手术时间180 min,术中平均失血量150 ml.术后发生皮下血清肿1例,皮缘坏死1例,均经引流治愈,无严重感染并发症.无复发性腹腔间隙综合征发生,无脏器功能障碍等发生.腹直肌功能恢复良好,无其他不适症状.随访l ～21个月,平均12.3个月,轻度复发l例,暂时观察中. 结论 改良腹直肌推徙术治疗巨大计划性腹疝,效果良好,为腹腔扩容术后巨大计划性腹疝患者临床治疗提供了新的可供选择的手术方法.%Objective To examine the effect of modified sliding myofascial flap of the rectus abdominis to intervene the huge planned hernia following intra-abdominal volume increment.Methods A retrospective review was made on 7 cases (4 males and 3 females at mean age of 43.4 years).Colostomy or ileumstomy co-occurred in 4 cases,pancreatic fistula in 1,intestinal fistula in 1,cholecystitis in 1.Definite abdominal wall reconstruction was performed using the modified sliding rectus abdominus myofascial flap and mean delay time was 6.4 months.Results Surgical success rate was 100％.Mean operation time was 180 minutes and mean intraoperative blood loss was 150 ml.One case of subcutaneous hematoma and one skin marginal necrosis were noted after operation,but cured later by volume drainage.There were no postoperative complications such as infection,reproductive abdominal compartment syndrome (ACS),and organ function impairment.Rectus abdominis functioned well without any other symptoms.At the follow-up of 1-21 months (mean,12.3 months),1 case had mild relapse and kept under temporary observation.Conclusion Modified sliding rectus abdominus myofascial flap is novel and effective treatment choice for huge planned abdominal hernia after intra-abdominal volume increment.

摘要： Objective To explore the clinical significance of MSCT cooperate with Valsalva maneuver in abdominal wall reconstruction with mesh.Methods All patients with ventral hernia received spiral CT examination before the abdominal reconstruction was performed.Patients were scanned under quiet breathing and maximum Valsalva maneuver respectively,to measure diametervariations of hernia ring.The CT values of abdominal wall muscle in different distance to hernia ring,as well as the CT values in patients with negative results,were recorded.Results Abdominal MSCT examination under Valsalva maneuver revealed an increasing hernia ring diameter compared with those in quiet breathing(t=1 5.477,1 5.41 8,all P=0.000).The CT values of abdominal wall muscle from 97 cases of ventral hernia,within distance of 1 , 2,3,4,5,6 cm to hernia ring,showed significant differences(F=1 4.534,P=0.000).While the CT values of ventral hernia in remote region (6-cm)were lower than those of normal people(t=-6.1 97,P=0.000).Conclusions MSCT examinations cooperate with Valsalva maneuver will be helpful to screen ventral hernia and detect the true hernia ring in patients with increasing intraabdominal pressure.Abdominal muscle CT valuesmeasuring surrounding hernia ring can be able to understand the physiological state of patients′abdominal muscle,and help to determine the safe positions for fixing mesh.%目的：探讨多层螺旋CT（MSCT）辅助瓦氏呼吸在补片重建腹壁中的指导意义。方法对拟行补片修补的腹壁疝患者，术前在平静呼吸状态下及做最大瓦氏呼吸时分别行螺旋CT检查，测量疝环径线的变化，测量距离疝环不同距离腹壁肌肉的CT值。测量螺旋CT检查结果阴性患者的腹壁肌肉CT值。结果辅助瓦氏呼吸的腹部MSCT检查患者的疝环径线较平静呼吸状态下屏住气的检查增大：疝环左右径线平均增大10．73 mm，差异有统计学意义（t＝15．477，P＝0．000）；上下径线平均增大10．04 mm，差异有统计学意义（t＝15．418，P＝0．000）。97例腹壁疝患者距离疝环1、2、3、4、5、6 cm的腹壁肌肉的CT值组间均数差异有统计学意义（F＝14．534，P＝0．000）。腹壁疝患者远隔部位（距离疝环6 cm）与腹部 MSCT检查结果正常者的腹壁肌肉的 CT值比较差异有统计学意义（t ＝－6．197，P＝0．000）。结论辅助瓦氏呼吸的MSCT检查，有利于腹壁疝的检出以及了解腹内压增高患者疝环的真实径线。测量疝环周围腹壁肌肉CT值，能够了解患者腹壁肌肉的生理状态，帮助确定固定补片的安全位置。

摘要： 本发明提供了一种经腹腹膜前疝修补手术训练模型及其制作方法和保存方法，涉及医疗技术领域。本发明提供的经腹腹膜前疝修补手术训练模型的制作方法，以胃组织为主要原料，充分模拟病灶组织的质感，以及实际病灶的构造和血管走向，该制作方法简单快捷，取材方便，成本低。本发明提供的经腹腹膜前疝修补手术训练模型，该训练模型以胃组织主要原料制作得到，充分模拟病灶组织的质感，以及真实手术操作的触感和力度反馈，为医护人员提供可靠的训练模型，提升手术技能，并且，该训练模型的训练环境要求简单，节省场地、成本、人工等投入，实现手术训练日常化。

摘要： 本发明涉及腹疝缺损封堵。一种组织缺损封堵系统包括内窥镜手术固定装置和植入物。所述内窥镜手术固定装置包括手柄组件和细长外管，所述细长外管具有远端且包括布置在其中的多个紧固件。所述植入物包括细长中空体，所述细长中空体具有近端和远端且在其中限定了细长的穴。所述细长的穴其尺寸为接合所述内窥镜手术固定装置的所述细长外管。

摘要： 本发明涉及一种疝补片、制备方法及其在疝修补中的应用。该疝补片是由异体皮原料经完全去除可引起宿主免疫排斥反应的所有细胞、完整地保留与原有组织结构相同的细胞外基质而制成；所述脱细胞异体真皮基质的拉伸强度3.0MPa‑7.0MPa、缝合强度18N‑22N、拉伸伸长率为10％‑30％、顶破强度20KPa‑30KPa。本发明疝补片具有诱导组织生成的作用，在植入人体后能被人体组织细胞识别为自体组织，很快有新生血管和成纤维细胞长入，引导细胞沿其胶原框架有序生长，达到补充、特别是快速修复的目的，补片补入后24周而不降解。

摘要： 一种用于腹疝闭合和/或张力分散的组合式磁性且生物可吸收器械，用于保持组织并置以促进愈合，同时避免外来物质的长期印记，并排除跨越了对内脏结构存在风险的腹部闭合的内层的物质。

摘要： 本发明提供了一种经腹腹膜前疝修补手术训练模型及其制作方法和保存方法，涉及医疗技术领域。本发明提供的经腹腹膜前疝修补手术训练模型的制作方法，以胃组织为主要原料，充分模拟病灶组织的质感，以及实际病灶的构造和血管走向，该制作方法简单快捷，取材方便，成本低。本发明提供的经腹腹膜前疝修补手术训练模型，该训练模型以胃组织主要原料制作得到，充分模拟病灶组织的质感，以及真实手术操作的触感和力度反馈，为医护人员提供可靠的训练模型，提升手术技能，并且，该训练模型的训练环境要求简单，节省场地、成本、人工等投入，实现手术训练日常化。

摘要： 本发明涉及腹疝缺损封堵。一种组织缺损封堵系统包括内窥镜手术固定装置和植入物。所述内窥镜手术固定装置包括手柄组件和细长外管，所述细长外管具有远端且包括布置在其中的多个紧固件。所述植入物包括细长中空体，所述细长中空体具有近端和远端且在其中限定了细长的穴。所述细长的穴其尺寸为接合所述内窥镜手术固定装置的所述细长外管。

摘要： 本实用新型涉及一种腹镜用的弯嘴钳式疝针，包括固定管，所述固定管两侧对称设有连接杆，所述连接杆上安装有固定环，所述固定管一端设有弧形端头，所述弧形端头顶部设置有出入口，所述出入口左侧设有挤压块，且所述挤压块设于弧形端头顶部，所述固定管内腔设有操作钳，所述操作钳包括固定杆，所述固定杆左端设有金属波纹管，所述金属波纹管左端安装有钳头，所述钳头包括连接座，所述连接座左端设有第一夹板，所述连接座底部设有空槽，所述空槽内设有弹性连接杆，所述弹性连接杆左端安装有第二夹板，且所述第一夹板与第二夹板匹配，所述固定杆右端安装有操作环，结构简单，设计合理，操作更加方便，从而提高手术效率，减小患者痛苦。

摘要： 腹疝矫正带，包括硬质圆盘、左腹带和右腹带，硬质圆盘的底面同轴线固定有圆台，硬质圆盘和圆台的中心处对应开设有穿孔，穿孔内穿设有硬质胶棒，硬质胶棒的下部缠绕有位于圆台下方的棉条；左腹带的右侧开设有缺口，左腹带的前表面设有若干列位于缺口左侧的挂环，若干列挂环左右并排设置；综上所述，本实用新型结构设计合理，使用安全性好，固定效果佳，能够对疝孔彻底封堵。

摘要： 用于腹股沟疝腹壁修补的器具及腹股沟疝修补的内埋装置。具体涉及一种用于腹股沟疝腹壁修补术的器具和修补后内埋体内的装置。本发明为克服现有技术的腹股沟疝修补术存在术中相关解剖操作多，补片多采用缝合、疝枪等方式进行固定，导致手术时间长以及术后面临着出血、疼痛、复发等相关并发症的问题。圆片形的内补片的中心部位开设有一号孔，内补片的下表面通过自粘材料粘贴在腹壁内表面上，多个伞骨杆固定在内补片的上表面，每个伞骨杆均沿内补片径向布置，每个伞骨杆的内侧端端部分别与一个拉线的一端固定连接；创口填充装置插在操作孔中并将操作孔填满，内补片与创口填充装置的端部相接触。用于腹股沟疝的修补。

摘要： 用于腹股沟疝腹壁修补的器具及腹股沟疝修补的内埋装置。具体涉及一种用于腹股沟疝腹壁修补术的器具和修补后内埋体内的装置。本实用新型为克服现有技术的腹股沟疝修补术存在术中相关解剖操作多，补片多采用缝合、疝枪等方式进行固定，导致手术时间长以及术后面临着出血、疼痛、复发等相关并发症的问题。圆片形的内补片的中心部位开设有一号孔，内补片的下表面通过自粘材料粘贴在腹壁内表面上，多个伞骨杆固定在内补片的上表面，每个伞骨杆均沿内补片径向布置，每个伞骨杆的内侧端端部分别与一个拉线的一端固定连接；创口填充装置插在操作孔中并将操作孔填满，内补片与创口填充装置的端部相接触。用于腹股沟疝的修补。