Department of Surgery, St. Luke's Hospital, Kilkenny, Republic of Ireland.
Hernia. 2010 Jun;14(3):271-5. doi: 10.1007/s10029-009-0606-y. Epub 2010 Jan 5.
When encountered, a femoral hernia requires repair due to its propensity for incarceration with associated morbidity and mortality. Several operations have been described, including the low approach (Lockwood), the high approach (Lotheisen) and McEvedy's preperitoneal approach. Recently, laparoscopic repair has also been advocated. The Nyhus-Condon repair, a transverse abdominal preperitoneal repair, was first employed in 1943 and has been widely used since. The aim of this study was to describe our modification of the Nyhus-Condon repair.
A retrospective review of all patients who underwent this repair over an 18-year period was performed.
Twenty-seven patients were included in the study. The female:male ratio was 16:11. Sixteen operations were performed as emergencies. Four patients required resection of a segment of bowel, which was performed through the same incision. There were no immediate post-operative complications. No recurrence was noted with a median follow-up of 4 years.
The Nyhus-Condon repair offers an alternative approach to femoral hernia repair and has the advantages of allowing bowel resection through the same incision with a better cosmetic outcome than the alternative preperitoneal McEvedy repair.
由于股疝容易发生嵌顿并导致相关发病率和死亡率，因此一旦发现，就需要进行修复。已经描述了几种手术方法，包括低位入路（Lockwood）、高位入路（Lotheisen）和 McEvedy 的腹膜前入路。最近，腹腔镜修复也得到了提倡。Nyhus-Condon 修复术，一种横向腹部腹膜前修复术，于 1943 年首次应用，并已广泛应用。本研究旨在描述我们对 Nyhus-Condon 修复术的改良。
对 18 年来接受这种修复的所有患者进行回顾性研究。
研究共纳入 27 例患者。男女比例为 16:11。16 例手术为急症。4 例患者需要切除一段肠管，这是通过同一个切口进行的。术后无即时并发症。中位随访 4 年，无复发。
Nyhus-Condon 修复术为股疝修复提供了另一种方法，与替代的腹膜前 McEvedy 修复术相比，它具有允许通过同一切口进行肠切除的优点，并且美容效果更好。
