一种用于腹股沟股疝修补的新型开放式前路无张力补片植入技术。
A new open anterior tension-free onlay patch technique for inguinofemoral hernia repair.
作者信息
Reyes-Devesa Hugo Enrique, Martinez-Dejesús Fermín, Martínez-Mier Gustavo, Viñas-Dozal Julio Cesar
机构信息
Department of Surgery, Adolfo Ruiz Cortines National Medical Center, Cuauhtemoc S/N entre Raz y Guzman y Cerbantes y Padilla, Formando Hogar, Veracruz, Mexico 91897.
出版信息
Am J Surg. 2005 Jul;190(1):118-22. doi: 10.1016/j.amjsurg.2005.04.005.
BACKGROUND
The high rate of misdiagnosed, coincident, or recurrent femoral hernias while or after mesh herniorrhaphy suggests its systematic search. We introduced a new open anterior tension-free mesh herniorrhaphy with a novel design.
METHODS
A description of the operative technique and patients demographics is presented.
RESULTS
Two hundred sixty-eight hernias were repaired with this technique in a 5-year period. Two hundred twelve patients had a primary inguinal hernia. An unsuspected femoral hernia was discovered in 39 patients with a preoperatively diagnosed inguinal hernia. Operative time was 45 minutes, most patients were discharged in less than 24 hours, no recurrence has been noted, and minor complications were present. Most patients had minimal pain and returned to their normal activities within 10 days after surgery.
CONCLUSION
This technique has the same advantages of open tension-free repairs, allows identification of femoral hernias, and protects a herniorrhaphy for recurrence.
背景
在使用补片修补腹股沟疝时或之后，股疝的误诊、并发或复发率较高，提示应进行系统检查。我们引入了一种具有新颖设计的新型开放式前路无张力补片修补术。
方法
介绍了手术技术及患者人口统计学资料。
结果
在5年期间，采用该技术修补了268例疝。212例患者为原发性腹股沟疝。在39例术前诊断为腹股沟疝的患者中发现了意外的股疝。手术时间为45分钟，大多数患者在不到24小时内出院，未发现复发，且出现轻微并发症。大多数患者疼痛轻微，术后10天内恢复正常活动。
结论
该技术具有开放式无张力修补术的相同优点，能够识别股疝，并防止疝修补术复发。
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