Bingener J, Dorman J P, Valdes G
Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Surg Endosc. 2003 Nov;17(11):1781-3. doi: 10.1007/s00464-002-8556-9. Epub 2003 Sep 10.
Laparoscopic repair of recurrent inguinal hernias is becoming increasingly accepted in surgical practice, using an extraperitoneal or transabdominal approach for the placement of mesh. Previous literature reflects that efforts to perform open repair of recurrent inguinal hernias often result in further recurrences, testicular damage, or nerve injuries. Our study reflects physical examination of 37 patients over 4 years that underwent laparoscopic repair of recurrent inguinal hernia(s). Early and late complications are presented. The re-recurrence rate at this short follow up to 54 months is quite low at 2.5%. The laparoscopic repair of recurrent hernia reflects a very low likelihood of recurrence, low occurrence of testicular damage, and less likelihood of other such complications as nerve or spermatic cord injury (none of these occurred in this study). Seroma was clinically significant in 3 patients and no infections were noted. Our study and ongoing careful follow-up are the subject of this report.
腹腔镜修复复发性腹股沟疝在外科实践中越来越被接受，采用腹膜外或经腹途径放置补片。既往文献表明，尝试对复发性腹股沟疝进行开放修复往往会导致进一步复发、睾丸损伤或神经损伤。我们的研究对37例在4年期间接受腹腔镜复发性腹股沟疝修补术的患者进行了体格检查。报告了早期和晚期并发症。在长达54个月的短期随访中，再次复发率相当低，为2.5%。复发性疝的腹腔镜修复术复发可能性非常低，睾丸损伤发生率低，神经或精索损伤等其他此类并发症的可能性也较小（本研究中均未发生）。3例患者血清肿具有临床意义，未发现感染。本报告的主题是我们的研究及正在进行的仔细随访。
