Bendavid R
World J Surg. 1989 Sep-Oct;13(5):522-31. doi: 10.1007/BF01658865.
The surgical treatment of inguinal and femoral hernias has evolved through several stages to reach a modern and successful era. This success was shared by all our predecessors who contributed some knowledge with respect to anatomy, physiology, and surgery. Although most patients are treated with satisfaction by primary herniorrhaphy, difficult recurrences can also be treated successfully. The special features that characterize the modern treatment of difficult hernias are the preperitoneal approach and the availability of reliable prosthetic materials. Some of the techniques currently available are discussed. They are the femoral umbrella, transversalis fascial replacement, and the fletching. The results have been encouraging. As surgeons, we are behooved to look, assess, and reconsider in order to improve.
腹股沟疝和股疝的外科治疗已经历了几个阶段的发展，进入了一个现代且成功的时代。我们所有的前辈都为这一成功做出了贡献，他们在解剖学、生理学和外科手术方面都贡献了一些知识。虽然大多数患者通过一期疝修补术得到了满意的治疗，但复发性困难疝也能得到成功治疗。现代治疗困难疝的特点是腹膜前入路和可靠的人工材料的可用性。本文讨论了目前可用的一些技术。它们是股伞、腹横筋膜置换术和箭羽法。结果令人鼓舞。作为外科医生，我们有责任审视、评估并重新思考以实现改进。
