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带假体的“无张力”疝修补术:两种技术的比较

["Tension-free" hernioplasty with prosthesis: comparison of 2 techniques].

作者信息

Taruffi Francesco, Bernini Marco, Pantalone Desire, Paolucci Roberto, Panichi Sergio, Andreoli Francesco

机构信息

Clinica Chirurgica II Dipartimento di Area Critica Medico Chirurgica Università degli Studi di Firenze.

出版信息

Chir Ital. 2002 Nov-Dec;54(6):819-27.

PMID:12613330
Abstract

The paper evaluates the results of the surgical therapy of primary inguinal hernia in adult subjects performed in our Institution from 1994 to 2000. The Trabucco and Lichtenstein procedures were compared. Two hundred and fifteen patients--123 Trabucco and 92 Lichtenstein--were enrolled in the study. A file was created for each patient with details of personal data, procedures, anaesthesia and postoperative course. A form regarding the present state of each patient was filled in, mainly by phone, but sometimes by physical examination, if patients complained of problems. The results were evaluated statistically using the Fisher f and X2 tests. Only four parameters showed significant differences: wound swelling, constipation and days off work were less frequent with the Trabucco procedure, while there was less loss of the foreign body sensation in the Lichtenstein patients (6.7% vs. 18.3%). No recurrences were detected. The results of the two procedures can be considered comparable.

摘要

本文评估了1994年至2000年在本机构对成年患者进行的原发性腹股沟疝手术治疗的结果。比较了特拉布科手术和利希滕斯坦手术。共有215例患者纳入研究,其中123例行特拉布科手术,92例行利希滕斯坦手术。为每位患者建立了一个档案,记录个人数据、手术过程、麻醉和术后病程的详细信息。主要通过电话填写关于每位患者当前状况的表格,但如果患者抱怨有问题,则有时通过体格检查填写。使用费舍尔F检验和卡方检验对结果进行统计学评估。只有四个参数显示出显著差异:特拉布科手术的伤口肿胀、便秘和缺勤情况较少,而利希滕斯坦手术患者的异物感丧失较少(6.7%对18.3%)。未检测到复发情况。两种手术的结果可认为具有可比性。

相似文献

1
["Tension-free" hernioplasty with prosthesis: comparison of 2 techniques].带假体的“无张力”疝修补术:两种技术的比较
Chir Ital. 2002 Nov-Dec;54(6):819-27.
2
[Tension-free hernioplasty in the treatment of inguinal hernia in the adult: our experience with local anesthesia and a review of the literature].[无张力疝修补术治疗成人腹股沟疝:我们在局部麻醉下的经验及文献综述]
Minerva Chir. 1999 Sep;54(9):573-89.
3
[Primary inguinal hernia: Shouldice, Lichtenstein, Trabucco. Experience with 1,000 cases].[原发性腹股沟疝:肖尔代斯手术、利希滕斯坦手术、特拉布科手术。1000例手术经验]
Chir Ital. 2003 Jul-Aug;55(4):551-4.
4
[Inguinal tension-free hernioplasty performed by day-care surgery in a non-specialized hospital].
Minerva Chir. 2003 Jun;58(3):331-4.
5
Tension-free hernioplasty of recurrent inguinal hernia under local anaesthesia: a 5-year review.局部麻醉下复发性腹股沟疝的无张力疝修补术:一项5年回顾
Chir Ital. 2008 May-Jun;60(3):401-8.
6
Lichtenstein tension-free repair of inguinal hernia.腹股沟疝的李金斯坦无张力修补术
Chirurgia (Bucur). 2006 Sep-Oct;101(5):509-12.
7
[Inguinal hernia in the elderly. Indications, techniques, results].
Minerva Chir. 2004 Jun;59(3):271-6.
8
[The tension-free hernioplasty for primary inguinal hernias: personal experience].
Ann Ital Chir. 2004 Mar-Apr;75(2):247-8.
9
[Inguinal hernioplasty: Shouldice vs. tension-free techniques. A personal experience].[腹股沟疝修补术:Shouldice法与无张力技术。个人经验]
G Chir. 2003 Jan-Feb;24(1-2):43-5.
10
[Comparison between two methods of inguinal hernia surgery--Lichtenstein and Desarda].两种腹股沟疝手术方法的比较——利chtenstein法与德萨尔达法
Pol Merkur Lekarski. 2008 May;24(143):392-5.

引用本文的文献

1
Is there an increased risk of the vas deferens occlusion after mesh inguinal hernioplasty and what can we do about it?腹股沟疝修补术后输精管梗阻风险会增加吗?我们对此能做些什么?
Ann Surg. 2007 Jan;245(1):153-4. doi: 10.1097/01.sla.0000245517.03031.d7.