Agresta F, Mainente P, Michelet I, De Simone P, Bedin N
Unità Operativa di Chirurgia Generale, Presidio Ospedaliero di Vittorio Veneto Treviso.
Chir Ital. 2000 Nov-Dec;52(6):669-73.
Laparoscopic hernia repair has already become as accepted a technique as the conventional ones and is routinely used in those centres where this kind of surgery is normally performed. The two most commonly used laparoscopic techniques (transabdominal and total extraperitoneal) have been shown to produce good results in terms of post-operative course and recurrence rates, but still present the disadvantages of high cost and the need for general anaesthesia. We report here a retrospective analysis of our early experience with laparoscopic treatment of inguino-crural hernias. The positive results achieved (no cases of conversion to an open technique; no recurrences to date; 4.7% major morbidity) allow us to consider this approach a valid alternative to the traditional ones in selected, well-informed patients.
腹腔镜疝修补术已经成为一种与传统手术方法同样被认可的技术，并且在那些常规开展此类手术的中心被常规使用。两种最常用的腹腔镜技术（经腹和完全腹膜外）在术后恢复过程和复发率方面已显示出良好的效果，但仍存在成本高和需要全身麻醉的缺点。我们在此报告对我们早期腹腔镜治疗腹股沟-股疝经验的回顾性分析。所取得的积极结果（无转为开放手术的病例；至今无复发；严重并发症发生率为4.7%）使我们能够认为，在经过精心挑选且充分知情的患者中，这种方法是传统方法的一种有效替代方案。
