成年患者腹股沟疝修补的当前选择。
Current options in inguinal hernia repair in adult patients.
作者信息
Kulacoglu H
机构信息
Diskapi Yildirim Beyazit Teaching and Research Hospital, Department of Surgery, Ankara, Turkey Rize University, School of Medicine, Department of Surgery, Rize, Turkey.
出版信息
Hippokratia. 2011 Jul;15(3):223-31.
Abstract
Inguinal hernia is a very common problem. Surgical repair is the current approach, whereas asymptomatic or minimally symptomatic hernias may be good candidate for watchful waiting. Prophylactic antibiotics can be used in centers with high rate of wound infection. Local anesthesia is a suitable and economic option for open repairs, and should be popularized in day-case setting. Numerous repair methods have been described to date. Mesh repairs are superior to "nonmesh" tissue-suture repairs. Lichtenstein repair and endoscopic/laparoscopic techniques have similar efficacy. Standard polypropylene mesh is still the choice, whereas use of partially absorbable lightweight meshes seems to have some advantages.
摘要
腹股沟疝是一个非常常见的问题。手术修复是目前的治疗方法，而无症状或症状轻微的疝可能是观察等待的良好候选对象。在伤口感染率高的中心可使用预防性抗生素。局部麻醉是开放修复的一种合适且经济的选择，应在日间手术环境中推广。迄今为止，已描述了许多修复方法。补片修补优于“无补片”的组织缝合修补。李金斯坦修补术和内镜/腹腔镜技术具有相似的疗效。标准聚丙烯补片仍是首选，而使用部分可吸收的轻质补片似乎有一些优势。
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