Kohler A, Beldi G
Universitätsklinik für Viszerale Chirurgie und Medizin, Inselspital, 3010, Bern, Schweiz.
Chirurg. 2014 Feb;85(2):112-6. doi: 10.1007/s00104-013-2593-x.
Recurrence after hernia surgery remains a relevant measure of surgical quality. In order to correctly assess the recurrence rate the surgeon needs to distinguish clinical relevant recurrence, clinically irrelevant recurrence and pseudo-recurrence. Current surgical techniques for inguinal hernia repair using mesh are associated with a low rate of recurrence. Thus, recurrence after inguinal hernia surgery is seen as a surgical complication. Conversely, the recurrence rate for large incisional hernias remains above 10 % and in rare cases a recurrence might represent the natural course. Recurrent hernia can depend on the indication, choice of operation and surgical technique. Therefore, postoperative hernia recurrence probably does not represent the natural course but rather a surgical complication that needs to be prevented by an optimized surgical technique.
疝气手术后的复发仍然是衡量手术质量的一项重要指标。为了正确评估复发率，外科医生需要区分临床相关复发、临床无关复发和假性复发。目前使用补片进行腹股沟疝修补的手术技术复发率较低。因此，腹股沟疝手术后的复发被视为一种手术并发症。相反，大型切口疝的复发率仍高于10%，在极少数情况下，复发可能是自然病程。复发性疝可能取决于适应证、手术选择和手术技术。因此，术后疝复发可能并非自然病程，而是一种需要通过优化手术技术来预防的手术并发症。
