Kovachev L S
Department of General Surgery, Higher Medical Institute, Pleven, Bulgaria.
Int Surg. 1991 Jul-Sep;76(3):154-8.
A series of 93 patients operated on for groin hernias by applying the preperitoneal approach is reported (89 bilateral and four unilateral). The patients were divided into two groups. Group one included 24 patients without prosthetic repair. Group two included 65 patients who had undergone repair with Ampoxen mesh. Some untraditional methods are reported, such as interparietal repair, rotative transposition of external oblique muscle aponeurosis, etc. As far recurrences are concerned, no differences were recorded between the two groups (Pt greater than 0.05). Of all 193 groin hernias 81% were followed up and the total percentage of recurrences was 4.5%. Slight testicular and neuralgic postoperative complications were reported (three and two patients respectively). The advantages of biomaterials were confirmed by ultrasound examinations of ten patients from both groups. A conclusion is made that hernia repair strategy should be based on natural groin tissue resources.
报道了采用腹膜前入路对93例腹股沟疝患者进行手术的情况（89例双侧，4例单侧）。患者被分为两组。第一组包括24例未进行假体修复的患者。第二组包括65例使用Ampoxen补片进行修复的患者。报告了一些非传统方法，如壁间修复、腹外斜肌腱膜旋转移位等。就复发情况而言，两组之间未记录到差异（P值大于0.05）。在所有193例腹股沟疝中，81%得到随访，复发的总百分比为4.5%。报告了轻微的睾丸和神经痛术后并发症（分别为3例和2例患者）。通过对两组10例患者的超声检查证实了生物材料的优势。得出的结论是，疝修补策略应基于天然腹股沟组织资源。
