Department of Surgery, New Hanover Regional Medical Center, South East Area Health Education Center, University of North Carolina-Chapel Hill, 2131 South 17th Street, PO Box 9025, Wilmington, NC 28401, USA.
Surg Clin North Am. 2013 Oct;93(5):1135-62. doi: 10.1016/j.suc.2013.06.002. Epub 2013 Jul 29.
Thorough knowledge of anatomy, appropriate preoperative planning, and reliance on the principles of hernia repair ensure successful outcomes. There are many options for repair, including technique and mesh choice. The hernia surgeon should be well versed in the open and laparoscopic approaches and apply them based on the individual clinical presentation. Long-term outcomes related to suprapubic, subxiphoid, and lateral hernia repairs are limited; however, open and laparoscopic repairs using wide mesh overlap and adequate fixation have acceptable outcomes and recurrence rates. Future research will likely focus on comparative studies based on patient factors, techniques, mesh, and cost.
对解剖学有透彻的了解、适当的术前规划以及依靠疝修补原则可确保手术成功。有许多修复选择，包括技术和网片的选择。疝外科医生应精通开放和腹腔镜方法，并根据个体临床表现应用这些方法。耻骨上、剑突下和侧方疝修补的长期结果有限；然而，使用宽网片重叠和充分固定的开放式和腹腔镜修补具有可接受的结果和复发率。未来的研究可能集中在基于患者因素、技术、网片和成本的比较研究上。
