Kurzer Martin, Belsham Philip A, Kark Allan E
British Hernia Centre, 87 Watford Way, London, NW4 4RS, UK.
Surg Clin North Am. 2003 Oct;83(5):1099-117. doi: 10.1016/S0039-6109(03)00134-8.
The Lichtenstein tension-free mesh repair opened a new era in groin hernia repair. Without the risk of serious morbidity, it is now readily performed using local anesthesia in patients previously considered unsuitable for surgery. Fears of serious complications related to mesh implantation have proved to be without foundation. As a local anesthetic day care technique without the need for complex and expensive instrumentation, overall costs can be kept to a minimum without compromising the safety or the long-term success of the procedure. It is a straightforward technique to learn, with high patient acceptability and an exceedingly low recurrence rate. At present it must be considered the gold standard of groin hernia repair.
利希滕斯坦无张力疝修补术开创了腹股沟疝修补的新纪元。由于没有严重并发症的风险，现在对于以前被认为不适合手术的患者，也可以在局部麻醉下轻松完成该手术。事实证明，对与补片植入相关的严重并发症的担忧是毫无根据的。作为一种无需复杂且昂贵器械的局部麻醉日间手术技术，在不影响手术安全性或长期成功率的前提下，总体成本可降至最低。这是一种易于学习的直接技术，患者接受度高，复发率极低。目前，它必须被视为腹股沟疝修补的金标准。
