Carneiro P M
Department of Surgery, Muhimbili Medical Centre, Tanzania.
East Afr Med J. 1990 May;67(5):359-64.
This study is a six year retrospective review of 397 herniotomies in 380 children up to the age of 10 years. 373 (98.2%) were boys and only 7 (1.8%) were girls. 75 (19.7%) children presented with incarceration but only 28 required emergency operation while preoperative reduction was achieved in the remaining 47 children. The hernia recurrence rate was low (1.76%), all the 7 recurred cases were initially operated either by a surgeon undergoing training or a specialist with no specific paediatric surgery training. There were no deaths and though complications recorded were minimal, the exact complication rate is difficult to establish due to the limitations of a retrospective study. It is, however, stressed that herniotomy should not be delayed until complications develop. The results of this review are comparable to similar studies done in Britain probably because the hernitomies were performed in a specialised unit with careful training and supervision of junior surgeons.
本研究是一项针对380名10岁以下儿童的397例疝修补术的六年回顾性研究。其中373例（98.2%）为男孩，仅7例（1.8%）为女孩。75例（19.7%）儿童出现嵌顿，但仅28例需要急诊手术，其余47例儿童术前成功复位。疝复发率较低（1.76%），所有7例复发病例最初均由接受培训的外科医生或未接受过小儿外科专门培训的专科医生进行手术。无死亡病例，尽管记录的并发症极少，但由于回顾性研究的局限性，确切的并发症发生率难以确定。然而，需要强调的是，疝修补术不应延迟至出现并发症。本综述的结果与英国进行的类似研究结果相当，这可能是因为疝修补术是在一个专门的单位进行的，对初级外科医生进行了仔细的培训和监督。
