Donati Marcello, Gandolfo Lulgi, Privitera Antonio, Palmeri Santi, Brancato Giovanna
Unità Operativa di Chirurgia Generale I, Dipartimento di Scienze Chirurgiche, Trapianti d'Organo e Tecnologie Avanzate, Policlinico Universitario, Università degli Studi di Catania, Catania.
Chir Ital. 2005 Jul-Aug;57(4):449-55.
Prosthetic repair of femoral hernias is now standard practice. The aim of the study was to evaluate the results obtained using different types of polypropylene plugs in relation to the different anatomic-surgical aspects of the hernia. Twenty-five femoral hernioplasties were performed, 3 with Gilbert's conical plug, 18 with a dart plug, and 4 with Lichtenstein's cylindrical plug. The functional rehabilitation was rapid, and there were no postoperative complications; over follow-up periods of 3-132 months no recurrences have been reported. The correct choice of plug in femoral hernioplasty makes for efficacy, safety and simplicity. The possibility of choosing among different types of plug in relation to the anatomical characteristics of the hernia provides the surgeon with the right degree of flexibility for achieving the best possible result.
股疝的假体修复现已成为标准做法。本研究的目的是评估使用不同类型聚丙烯补片在处理疝的不同解剖 - 手术方面所取得的结果。共进行了25例股疝修补术，3例使用吉尔伯特圆锥形补片，18例使用疝囊颈荷包缝合补片，4例使用利希滕斯坦圆柱形补片。功能康复迅速，且无术后并发症；在3 - 132个月的随访期内未报告复发情况。股疝修补术中补片的正确选择有助于实现疗效、安全性和操作简便性。根据疝的解剖特征在不同类型补片中进行选择的可能性为外科医生提供了适当程度的灵活性，以获得最佳结果。
