更接近腹股沟疝修补的理想解决方案：普通外科医生与疝外科专家的比较
Closer to an ideal solution for inguinal hernia repair: comparison between general surgeons and hernia specialists.
作者信息
Gilbert A I, Graham M F, Young J, Patel B G, Shaw K
机构信息
Hernia Institute of Florida, University of Miami Miller Medical School, Miami, Fl, 33143, USA.
出版信息
Hernia. 2006 Apr;10(2):162-8. doi: 10.1007/s10029-005-0054-2. Epub 2005 Dec 23.
BACKGROUND
It is accepted a priori that specialists of hernia surgery have better results than general surgeons who use the same or different techniques as part of their complete surgical repertoire.
METHODS
Results of general surgeons trained in the technique of hernia repair using a bilayer connected mesh device (BCMD) was compared to results of specialists and other general surgeons who used other techniques.
RESULTS
One report from hernia specialists and three additional reports from trained general surgeons showed similar results using a BCMD. These results were better than results of all other mesh repairs.
DISCUSSION
This study shows the value of surgeon-training as well as the value in the design of a particular mesh device for hernia repair. The three components of this device offer three separate, yet connected, barriers to the formation of a recurrent hernia.
CONCLUSION
General surgeons trained to use a bilayer mesh device repeatedly duplicated the results of specialists who used it.
背景
预先假定疝外科专家比使用相同或不同技术作为其完整手术技能一部分的普通外科医生有更好的手术效果。
方法
将接受双层连接网片装置（BCMD）疝修补技术培训的普通外科医生的手术结果与使用其他技术的专家及其他普通外科医生的结果进行比较。
结果
疝外科专家的一份报告以及接受培训的普通外科医生的另外三份报告显示，使用BCMD的结果相似。这些结果优于所有其他网片修补的结果。
讨论
本研究显示了外科医生培训的价值以及特定疝修补网片装置设计的价值。该装置的三个组件为复发性疝的形成提供了三个独立但相互连接的屏障。
结论
接受培训反复使用双层网片装置的普通外科医生的手术结果与使用该装置的专家的结果相当。
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