Palot Jean-Pierre
Service de chirurgie générale et digestive, Hôpital Robert-Debré-CHU, 51092 Reims.
Rev Prat. 2003 Oct 15;53(15):1651-8.
During the last century, many surgical techniques have been reported for inguinal hernia repair. The goal of theses methods is to repair or reinforce the posterior wall of inguinal canal. The raphies performed by suturing and closing the inguinal ring may lead to excessive tension resulting in pain and recurrence. The use of prosthetic mesh reinforces the posterior wall and allows tension-free repair whether performed by inguinal route or laparoscopically. No consensus has yet been reached about the best surgical approach to inguinal hernia repair in view of the literature (especially randomised-controlled trials). Mesh repairs are associated with a low recurrence rate. Laparoscopy seems not to be superior to open mesh repair. Therefore, it is not possible to use only a single technique and the surgeon must adjust the choice of repair to each patient.
在上个世纪，已经报道了许多用于腹股沟疝修补的外科技术。这些方法的目的是修复或加强腹股沟管后壁。通过缝合和关闭腹股沟环进行的缝合可能会导致张力过大，从而引起疼痛和复发。使用人工补片可加强后壁，并允许进行无张力修补，无论是通过腹股沟途径还是腹腔镜进行。鉴于文献（尤其是随机对照试验），对于腹股沟疝修补的最佳手术方法尚未达成共识。补片修补的复发率较低。腹腔镜手术似乎并不优于开放补片修补。因此，不可能仅使用单一技术，外科医生必须根据每个患者的情况调整修补方法的选择。
