Geissler B, Anthuber M
Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Klinikum Augsburg, Deutschland.
Chirurg. 2011 May;82(5):451-64; quiz 465. doi: 10.1007/s00104-010-2050-z.
With an incidence of 200,000 new cases per year in Germany, inguinal hernia has a significant socioeconomic impact. The 2009 guidelines from the European Hernia Society established treatment recommendations. Hernia repair is based on reinforcing the posterior wall of the inguinal canal by suture or mesh repair by an anterior or posterior approach. Lightweight mesh reduces recurrence rates and is the treatment of choice even in primary hernias. Laparoscopic hernia repair is associated with specific risks but is superior in postoperative pain and earlier return to work.
在德国,腹股沟疝每年有20万新发病例,具有重大的社会经济影响。欧洲疝学会2009年的指南制定了治疗建议。疝修补术是通过缝合或采用前路或后路的补片修补术来加强腹股沟管后壁。轻质补片可降低复发率,即使在原发性疝中也是首选治疗方法。腹腔镜疝修补术有特定风险,但术后疼痛较轻且能更早恢复工作。