Amid P K, Shulman A G, Lichtenstein I L
Department of Surgery, Cedars-Sinai Medical Center, Century City Hospital, Los Angeles, California.
Int Surg. 1990 Apr-Jun;75(2):69-72.
It is conceded by many Authors that femoral hernias not uncommonly result from a previous inguinal herniorrhaphy. Why? A clear visualization of the femoral canal is hampered by the confusing structure of two of its components, the iliopubic tract and the lacunar ligament. Both entities have horizontal as well as vertical extensions. Therefore, a clear understanding of the femoral canal anatomy requires an appreciation of its three dimensional character. The various approaches to femoral hernia are documented. Obliteration of the entire canal by means of a "plug" prosthesis which occludes both the entrance and exit of the canal offers a simple and very effective means of correction. The results of the surgery are documented.
许多作者承认,股疝常常继发于既往腹股沟疝修补术。为什么呢?股管的两个组成部分——髂耻束和陷窝韧带结构复杂,影响了对股管的清晰观察。这两个结构都有水平和垂直延伸。因此,要清楚了解股管解剖结构,需要认识到它的三维特征。文献记录了股疝的各种手术方法。使用“补片”假体闭塞整个股管的入口和出口,提供了一种简单且非常有效的矫正方法。记录了手术结果。