MacFadyen BV, Mathis CR
Houston Medical School, University of Texas Health Science Center, Houston, TX, USA
Semin Laparosc Surg. 1994 Jun;1(2):128-140. doi: 10.1053/SLAS00100128.
Because laparoscopic surgical techniques have been applied to inguinal hernia repair, the surgeon has been forced to re-evaluate his particular open technique and its resultant complications and recurrences to determine what is the best procedure for patients. In this article, complication rates for open inguinal herniorrhaphy varied from 7% to 12% with some reports as low as 1% using the anterior mesh technique. The most frequent complications were wound problems and scrotal and testicular swelling. In the laparoscopic series using retroperitoneal mesh or the "onlay" technique, the number of complications in 3,288 inguinal herniorrhaphies was 522 (16.8%). On the other hand, recurrence rates for open inguinal herniorrhaphy ranged from 1% to 10% for primary repair to as high as 35% for the repair of recurrent hernias. The laparoscopic series involved 3,178 repairs using the retroperitoneal and onlay techniques, and 61 recurrences (1.92%) were noted in a follow-up greater than 6 months. These data emphasize that complication and recurrence rates are similar between open and laparoscopic inguinal herniorrhaphy.
由于腹腔镜手术技术已应用于腹股沟疝修补术，外科医生不得不重新评估其特定的开放手术技术及其由此产生的并发症和复发情况，以确定对患者而言最佳的手术方式。在本文中，开放腹股沟疝修补术的并发症发生率在7%至12%之间，一些使用前路补片技术的报告显示低至1%。最常见的并发症是伤口问题以及阴囊和睾丸肿胀。在使用腹膜后补片或“覆盖”技术的腹腔镜手术系列中，3288例腹股沟疝修补术中的并发症数量为522例（16.8%）。另一方面，开放腹股沟疝修补术的复发率，初次修补为1%至10%，复发性疝修补则高达35%。腹腔镜手术系列包括3178例使用腹膜后和覆盖技术的修补术，在超过6个月的随访中发现61例复发（1.92%）。这些数据强调，开放和腹腔镜腹股沟疝修补术的并发症和复发率相似。
