Li Junsheng, Zhang Yanan, Hu Haolin, Tang Whenhao
Department of General Surgery, Affiliated Zhong-Da Hospital, Southeast University, Nanjing, China.
ANZ J Surg. 2008 Oct;78(10):899-902. doi: 10.1111/j.1445-2197.2008.04688.x.
Kugel hernia repair is classically carried out through the posterior approach; in this study we investigated the effectiveness and invasiveness of a Modified Kugel (Bard-Davol Inc., RI, USA) hernia repair procedure carried out through an anterior approach. A prospective series covering a 2-year period, including 122 patients (142 hernias) were carried out using the anterior approach. Patient comfort, complications and recurrence were evaluated. A total of 142 inguinal hernias were repaired, median age was 67 years, the mean operation time was 51 +/- 23 min and the average incision was 4.5 cm. There was one case recurrence 5 months after repair. Other complications were few and not severe, only slight groin discomfort was observed in two patients during follow up. This Modified Kugel hernia through anterior approach is effective, mini-invasive and easy to learn with fewer complications.
库格尔疝修补术传统上是通过后路进行的；在本研究中，我们调查了通过前路进行的改良库格尔（美国罗德岛州巴德 - 达沃尔公司）疝修补术的有效性和侵入性。我们采用前路进行了一项为期2年的前瞻性系列研究，纳入了122例患者（142处疝）。评估了患者的舒适度、并发症和复发情况。共修复了142例腹股沟疝，中位年龄为67岁，平均手术时间为51±23分钟，平均切口为4.5厘米。修补术后5个月有1例复发。其他并发症较少且不严重，随访期间仅2例患者出现轻微腹股沟不适。这种前路改良库格尔疝修补术有效、微创且易于学习，并发症较少。
