Garavello A, Teneriello G F, Manfroni S, Antonellis D
Modulo di Chirurgia d'Urgenza, Azienda Ospedale S. Filippo Neri, Roma.
Minerva Chir. 1999 Oct;54(10):703-8.
Despite the new surgical approach with "tension free" techniques, recurrent inguinal hernia repair remains a difficult surgical problem.
Personal experience in 61 cases of recurrent inguinal hernia is reported; in all patients a new hernioplasty with a "tension free" technique was performed. Medium follow-up of the study was 27 months (min 6 mm, max 56 mm); 3 recurrences were observed, 2 in Lichtenstein "plug" hernioplasty and 1 with the Trabucco technique.
No recurrences were observed in Lichtenstein "mesh" hernioplasty group.
Lichtenstein "mesh" hernioplasty can solve every anatomical situation in hernia recurrence and good results, with little or any complications, are achievable; "plug" technique is easier but recurrences in other sites of a weak inguinal wall are possible.
尽管采用了“无张力”技术的新手术方法，但复发性腹股沟疝修补术仍然是一个棘手的外科问题。
报告了61例复发性腹股沟疝的个人经验；所有患者均采用“无张力”技术进行了新的疝修补术。该研究的平均随访时间为27个月（最短6个月，最长56个月）；观察到3例复发，2例发生在Lichtenstein“补片”疝修补术中，1例采用Trabucco技术。
Lichtenstein“补片”疝修补术组未观察到复发。
Lichtenstein“补片”疝修补术可以解决疝复发中的各种解剖情况，并能取得良好的效果，并发症很少或没有；“补片”技术更容易，但腹股沟壁薄弱的其他部位可能会复发。
