盆腔手术期间的腹膜前腹股沟疝修补术。
Preperitoneal inguinal hernia repair during pelvic surgery.
作者信息
Medica Mauro, Germinale Francesco, Giglio Matteo, Campodonico Fabio, Raggio Matteo, Carmignani Giorgio
机构信息
Department of Urology, San Martino Hospital, University of Genova, Genova, Italy.
出版信息
Arch Esp Urol. 2002 Mar;55(2):217-20.
OBJECTIVES
We report our experience with posterior preperitoneal prosthetic herniorrhaphy for inguinal hernia in patients undergoing concomitant pelvic surgery for both benign and malignant urological pathologies.
METHODS
116 patients with either unilateral or bilateral inguinal hernia underwent posterior preperitoneal prosthetic herniorrhaphy during a pelvic operation for various urological pathologies. The technique described by Mahorner and Goss was used for unilateral hernia, while the modified Stoppa technique was used for bilateral hernia.
RESULTS
All patients had a complication-free peri- and post-operative course, except for one patient who developed a spontaneously resolving small peri-prosthetic hematoma. In the follow-up of all patients (mean 35.7 months, range 4-72) we did not observe any hernia recurrence.
CONCLUSIONS
Posterior preperitoneal prosthetic inguinal herniorrhaphy during pelvic surgery for urological pathologies is a relatively simple and safe procedure to perform and a recurrence rate of zero, or very close to zero, is to be expected.
目的
我们报告了在因良性和恶性泌尿系统疾病而接受盆腔手术的患者中，采用腹膜后腹膜前人工材料疝修补术治疗腹股沟疝的经验。
方法
116例单侧或双侧腹股沟疝患者在因各种泌尿系统疾病进行盆腔手术期间接受了腹膜后腹膜前人工材料疝修补术。Mahorner和Goss描述的技术用于单侧疝，而改良的Stoppa技术用于双侧疝。
结果
除1例患者出现自发消退的小的假体周围血肿外，所有患者围手术期和术后过程均无并发症。在对所有患者的随访中（平均35.7个月，范围4 - 72个月），我们未观察到任何疝复发。
结论
在因泌尿系统疾病进行盆腔手术期间采用腹膜后腹膜前人工材料腹股沟疝修补术是一种相对简单且安全的手术，预计复发率为零或非常接近零。
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