Prins M W Wiesje, Voropai D A Dasha, van Laarhoven C J H M Kees, Akkersdijk Willem L
UMC St Radboud, afd. Heelkunde, Nijmegen, the Netherlands.
Ned Tijdschr Geneeskd. 2013;157(30):A6048.
The main complication of surgery for inguinal hernia is chronic postoperative pain. This is often reported following the Lichtenstein procedure. A new, open surgical technique for the repair of inguinal hernia has been developed. This procedure is called the transrectus sheath preperitoneal procedure (TREPP). At TREPP a lightweight mesh with a ring made of memory metal is introduced into the preperitoneal space through the transrectus sheath. The first results of this operative technique are very promising: short operation time, short learning curve and not many patients with chronic postoperative pain. In a randomised, multi-centre study which will start mid-2013 (ISRCTN18591339), the TREPP procedure is compared with the transinguinal preperitoneal procedure. The primary outcome measure of this study is chronic postoperative pain.
腹股沟疝手术的主要并发症是术后慢性疼痛。这在李金斯坦手术之后经常被报道。一种用于修复腹股沟疝的新型开放手术技术已被研发出来。该手术被称为经腹直肌鞘腹膜前修补术（TREPP）。在TREPP手术中，一种带有记忆金属制成的环的轻质补片通过腹直肌鞘被引入腹膜前间隙。这种手术技术的初步结果非常有前景：手术时间短、学习曲线短且术后慢性疼痛的患者不多。在一项将于2013年年中开始的随机、多中心研究（ISRCTN18591339）中，TREPP手术将与经腹股沟腹膜前修补术进行比较。这项研究的主要结局指标是术后慢性疼痛。
