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腹腔镜与开放腹股沟疝修补术

Laparoscopic versus open inguinal hernia repair.

作者信息

Gould Jon

机构信息

University of Wisconsin School of Medicine and Public Health, Department of Surgery, H4/726 Clinical Science Center, 600 Highland Avenue, Madison, WI 53792, USA.

出版信息

Surg Clin North Am. 2008 Oct;88(5):1073-81, vii-viii. doi: 10.1016/j.suc.2008.05.008.

DOI:10.1016/j.suc.2008.05.008
PMID:18790155
Abstract

Inguinal hernias are common, with a lifetime risk of 27% in men and 3% in women. Inguinal hernia repair is one of the most common operations in general surgery. Despite more than 200 years of experience, the optimal surgical approach to inguinal hernia remains controversial. Surgeons and patients face many decisions when it comes to inguinal hernias: repair or no repair, mesh or no mesh, what kind of mesh, open or laparoscopic, extraperitoneal or transabdominal, and so forth. Inguinal hernia repairs have morbidity and recurrence rates that are not inconsequential. The search for the gold standard of repair continues.

摘要

腹股沟疝很常见,男性终生患病风险为27%,女性为3%。腹股沟疝修补术是普通外科最常见的手术之一。尽管有200多年的经验,但腹股沟疝的最佳手术方法仍存在争议。在腹股沟疝问题上,外科医生和患者面临许多决策:是否修补、是否使用补片、使用何种补片、开放手术还是腹腔镜手术、腹膜外手术还是经腹手术等等。腹股沟疝修补术存在一定的发病率和复发率。对修补金标准的探索仍在继续。

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