Wall M L, Cherian Th, Lotz J C
Department of General Surgery, Staffordshire General Hospital, Stafford, UK.
Acta Chir Belg. 2008 Mar-Apr;108(2):186-91. doi: 10.1080/00015458.2008.11680200.
For 100 years the Bassini-type repair for inguinal hernia was the standard method. The Lichtenstein "tension free" mesh repair replaced it on the grounds of much lower recurrence rates, < 5% vs approximately 15%. However, open procedures all have significant long-term discomfort rates of up to 53%. Laparoscopic repair has become a genuine option in the last 15 years and offers low recurrence (< 1%) and minimal long-term discomfort. However, it has not been widely taken up. There is a common misconception that it takes longer to perform, has more complications and is much more expensive. None of these caveats stand up under objective scrutiny. It is time that laparoscopic repair became the method of choice for most elective inguinal hernia repairs.
100年来，腹股沟疝的巴西尼式修补术一直是标准术式。利希滕斯坦“无张力”疝修补术因其复发率低得多（<5%对比约15%）而取而代之。然而，所有开放手术都有高达53%的显著长期不适发生率。腹腔镜修补术在过去15年里已成为一种切实可行的选择，复发率低（<1%）且长期不适最小。然而，它尚未得到广泛应用。有一种普遍的误解，认为其手术时间更长、并发症更多且费用高得多。在客观审视下，这些顾虑都站不住脚。是时候让腹腔镜修补术成为大多数择期腹股沟疝修补术的首选方法了。
