Benfatto G, Catania G, Licari V, Catalano F, Giovinetto R M, Giovinetto A
Cattedra di Chirurgia Geriatrica, Azienda Ospedali Vittorio Emanuele II, Ferrarotto, S. Bambino, Catania.
Chir Ital. 2001 Jan-Feb;53(2):239-42.
The Authors describe a case of recurrent hernia of Petit's triangle in a 43-year-old man. The most salient feature of lumbar hernias is the difficulty of their treatment. Numerous, more or less complex techniques have been proposed for the repair of lumbar hernias. The classic procedure is that of Dowd (1907). Repair in this case consists of a flap of fascia and aponeurosis from the gluteus medius muscle which is elevated and rotated to cover the defect. Many modifications of this technique have been proposed. The modern prosthetics mesh materials allow a tension-free repair of lumbar hernias without distortion of the normal anatomy. Correct placement of a prosthetic mesh is relatively simple. Recurrences are due not to the material used, but to patches which are too small or too tight.
作者描述了一例43岁男性 Petit 三角复发性疝的病例。腰椎疝最显著的特点是治疗困难。已经提出了许多或多或少复杂的技术来修复腰椎疝。经典的手术方法是 Dowd（1907年）提出的。本例修复手术包括掀起臀中肌的筋膜和腱膜瓣并旋转以覆盖缺损。人们对该技术提出了许多改进。现代的人工合成网片材料可实现腰椎疝的无张力修复，且不会使正常解剖结构变形。人工合成网片的正确放置相对简单。复发并非由于所用材料，而是由于补片太小或太紧。
