Yasuda Kazuhiro, Shiraishi Norio, Kitano Seigo
Department of Surgery I, Oita University Faculty of Medicine, Oita, Japan.
Nihon Geka Gakkai Zasshi. 2007 Sep;108(5):284-90.
Inguinal hernia repair is one of the most commonly performed general surgical procedures and endoscopic herniorrhaphy has been performed around the world. We review the meta-analysis and recent large randomized controlled trials of endoscopic versus open repairs for inguinal hernia. Currently available evidence shows that endoscopic herniorrhaphy, when compared with open herniorrhapy, is associated with less persisting pain and numbness, earlier return to normal activity, and a lower risk of hematoma and wound infection, but this technique takes longer and has more serious complications. Hernia recurrence is comparable to open mesh methods and less common than after open non-mesh methods. More carefully conceived and executed studies are needed to establish the future role of endoscopic surgery for inguinal hernia repair.
腹股沟疝修补术是最常施行的普通外科手术之一，内镜下疝修补术已在全球开展。我们回顾了关于腹股沟疝内镜修补术与开放修补术对比的荟萃分析及近期大型随机对照试验。现有证据表明，与开放疝修补术相比，内镜下疝修补术导致的持续性疼痛和麻木较少，恢复正常活动更早，血肿和伤口感染风险更低，但该技术耗时更长且并发症更严重。疝复发率与开放补片修补法相当，低于开放无补片修补法。需要开展更精心设计和实施的研究来确定内镜手术在腹股沟疝修补术中未来的作用。
