University of Arkansas for Medical Sciences, Rockville, MD 20850, USA.
Hernia. 2009 Dec;13(6):577-80. doi: 10.1007/s10029-009-0582-2. Epub 2009 Nov 12.
Despite herniorrhaphy being performed frequently, most surgeons consider it to be a minor procedure. However, a few surgeons' views differed.
The Master was Bassini (1884), who introduced a radical cure for inguinal hernia. Incising his triple layer, internal oblique, transversus, and transversalis, he entered the preperitoneal space, allowing high ligation of the sac and mass suturing to the inguinal ligament. A 2.7% recurrence rate evoked worldwide emulation. Corruption ensued. The cremaster remained and few unincised layers were stitched, without imbrications, along with reinforcement using the cremaster or rectus muscles, fascial flaps, relaxing incisions, and silver coils. Little improvement cast doubt on Bassini's work. Russell's (Lancet 2:1197-1203, 1906) ligation of the hernial sac was adopted until 1953, when the Shouldice clinic revived Bassini's tenets, becoming the gold standard for decades. Cheatle (Br Med J 2:68-69, 1920) introduced posterior pre-peritoneal repair. Acquaviva and Bourret (Presse Med 73:892, 1948) designed the first plastic prosthesis (nylon), replaced by polypropylene. Usher (Surg Gynecol Obstet 117:239-240, 1963) parietalized the cord. These contributions paved the way for the Rives, Stoppa, Wantz, and Gilbert repairs, Ger's laparoscopic approach, and less common herniorrhaphies.
Chevrel (1979) formed the GREPA, which evolved into the European Hernia Society (EHS), joining with the American Hernia Society (AHS) to form the journal 'Hernia.' Nilsson (1993) instituted national hernia registries, enabling less recurrences and better prospective research.
In the 21st century, the Lichtenstein procedure has dominated inguinal herniorrhaphy. Herniologists accepted systemic connective tissue disorder as the etiology of abdominal hernia and pelvic prolapses. This malady explains why prostheses slow but do not eliminate recurrence. Antidotes need to be developed and employed.
This malady explains why prostheses slow but do not eliminate recurrence. Antidotes need to be developed and employed.
尽管疝修补术经常进行，但大多数外科医生认为这是一个小手术。然而，也有一些外科医生的观点不同。
大师是 Bassini（1884 年），他引入了一种根治腹股沟疝的方法。他切开三层，即内斜肌、横肌和横筋膜，进入腹膜前间隙，允许高位结扎疝囊，并将疝囊缝合到腹股沟韧带。全球范围内的复发率为 2.7%，引发了效仿。随之而来的是腐败。精索仍然存在，很少有未切开的层被缝合，没有重叠，同时使用精索或直肌、筋膜瓣、放松切口和银圈进行加固。很少有改进的方法让人对 Bassini 的工作产生了怀疑。直到 1953 年，Shouldice 诊所复兴了 Bassini 的原则，成为几十年来的黄金标准，才采用了 Russell（ Lancet 2:1197-1203, 1906 年）的疝囊结扎术。Cheatle（Br Med J 2:68-69, 1920 年）引入了后腹膜前修补术。 Acquaviva 和 Bourret（ Presse Med 73:892, 1948 年）设计了第一个塑料假体（尼龙），后来被聚丙烯取代。Usher（Surg Gynecol Obstet 117:239-240, 1963 年）将精索壁化。这些贡献为 Rives、Stoppa、Wantz 和 Gilbert 修复术、Ger 的腹腔镜方法以及较少见的疝修补术铺平了道路。
Chevrel（1979 年）成立了 GREPA，后来演变成欧洲疝学会（EHS），与美国疝学会（AHS）合并成立了期刊《 Hernia 》。Nilsson（1993 年）建立了全国疝登记处，使复发率降低，前瞻性研究更好。
在 21 世纪，Lichtenstein 手术已主导了腹股沟疝修补术。疝学家接受了系统性结缔组织疾病作为腹疝和骨盆脱垂的病因。这种疾病解释了为什么假体只能减缓但不能消除复发。需要开发和使用解毒剂。
这种疾病解释了为什么假体只能减缓但不能消除复发。需要开发和使用解毒剂。
