Dietz U A, Germer C-T, Wiegering A
Klinik und Poliklinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Universitätsklinikum Würzburg, Oberdürrbacher Straße 6, 97080, Würzburg, Deutschland.
Chirurg. 2016 Nov;87(11):938-947. doi: 10.1007/s00104-016-0294-y.
There are several techniques for repair of symptomatic inguinal and femoral hernias. There is an increased acceptance and tendency favoring minimally invasive procedures, such as plug or transinguinal preperitoneal mesh prosthesis (TIPP) and endoscopic procedures, such as totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) repair. In the present review the classical techniques of Irving L. Lichtenstein (1986) and Jean Rives (1965), two indispensable procedures, are presented and the results from the literature are discussed. The videos show the repair of three interesting and complex cases. The surgical techniques are demonstrated in detail with the help of a video of the operation and which is available online. It is essential that each hernia surgeon should have proficiency in performing both procedures in order to be able to counsel patients and tailor the procedure according to the clinical findings.
有几种修复有症状腹股沟疝和股疝的技术。对于微创方法，如疝塞或经腹股沟腹膜前修补术（TIPP），以及内镜手术，如完全腹膜外修补术（TEP）和经腹腹膜前修补术（TAPP），人们的接受度和青睐度都在增加。在本综述中，介绍了欧文·L·利希滕斯坦（1986年）和让·里夫斯（1965年）的经典技术（这两种不可或缺的手术方法），并讨论了文献中的结果。视频展示了三个有趣且复杂病例的修复过程。借助手术视频详细演示了手术技术，该视频可在线获取。每个疝气外科医生都必须熟练掌握这两种手术方法，以便能够为患者提供咨询并根据临床发现调整手术方案。
