Servicio de Cirugía General, Hospital Virgen del Camino, Sanlucar de Barrameda, Cádiz, Spain.
Int J Surg. 2012;10(4):206-8. doi: 10.1016/j.ijsu.2012.03.002. Epub 2012 Mar 15.
To evaluate the frequency and anatomic presentation of sliding inguinal hernias as well as to analyze the technical difficulties during surgery and recurrence rate.
During 18 months we have recorded in a prospective manner data on all patients operated in one hospital for non-complicated inguinal hernia. All patients suspected of sliding variant have had their hernia sac opened and the sliding organ identified. All repairs were done using tension free technique. One year after discharge a telephone interview was performed with all patients to verify if they are free of recurrence.
464 patients were electively operated on for inguinal hernia during the study period. Sliding variant was diagnosed in 16 patients (3.4%). The sliding organs were: sigmoid colon in 10 patients (62.5%), urinary bladder in 2 patients (12.5%), appendix in 2 cases (12.5%) and caecum in 2 cases (12.5%). The tension free repair according to Lichtenstein or Rutkow-Robbins technique was performed in all cases. No major surgical complication was recorded. During 18 months follow-up we have seen one recurrence 3 months postoperatively.
The sliding inguinal hernia is a rare finding. The risk of injury of sliding organ is minimal. If tension free technique is used, the risk of recurrence is similar to that of patients with non-sliding inguinal hernia.
评估滑动性腹股沟疝的频率和解剖学表现，分析手术中的技术难点和复发率。
在 18 个月的时间里，我们以前瞻性的方式记录了在一家医院接受非复杂性腹股沟疝手术的所有患者的数据。所有疑似滑动性疝的患者均进行疝囊切开，并确定滑动器官。所有修复均采用无张力技术进行。出院后一年，对所有患者进行电话随访，以确定其是否无复发。
在研究期间，464 名患者择期接受腹股沟疝手术。诊断出 16 例滑动性疝（3.4%）。滑动器官为：10 例（62.5%）乙状结肠、2 例（12.5%）膀胱、2 例（12.5%）阑尾和 2 例（12.5%）盲肠。所有病例均采用 Lichtenstein 或 Rutkow-Robbins 无张力修复技术进行修复。未记录到重大手术并发症。在 18 个月的随访中，我们发现 1 例患者术后 3 个月复发。
滑动性腹股沟疝是一种罕见的发现。滑动器官损伤的风险很小。如果使用无张力技术，复发风险与非滑动性腹股沟疝患者相似。
