Reinpold W, Chen D
Chirurgische Abteilung und Referenzzentrum für Hernienchirurgie, Wilhelmsburger Krankenhaus Groß-Sand, Groß-Sand 3, 21107, Hamburg, Deutschland.
Department of Surgery, Lichtenstein-Amid Hernia Clinic, David Geffen School of Medicine at the University of California, Los Angeles, Vereinigte Staaten von Amerika.
Chirurg. 2017 Apr;88(4):296-302. doi: 10.1007/s00104-017-0402-7.
Lichtenstein hernioplasty is the number one technique worldwide for open, mesh-based inguinal hernia repair. The principle of Lichtenstein hernioplasty is the tension-free reinforcement of the abdominal wall by covering the transversalis fascia and the oblique muscles with an artificial patch of mesh. The Lichtenstein technique has been modified since its inception. The technique has the benefits of low costs and a rapid learning curve and can be performed with the patient under local anesthesia. The recurrence rates after the Lichtenstein operation are significantly lower compared to open suture repair and equal to laparoendoscopic techniques. Compared to laparoendoscopic techniques the Lichtenstein operation is associated with less severe visceral lesions but more early postoperative and chronic pain; however, the chronic pain rates in long-term follow-up studies are comparable.
利希滕斯坦疝修补术是全球范围内开放式、基于补片的腹股沟疝修补的首选技术。利希滕斯坦疝修补术的原理是通过用人造补片覆盖腹横筋膜和斜肌来无张力加强腹壁。自利希滕斯坦技术问世以来，它一直在改进。该技术具有成本低、学习曲线短的优点，并且可以在局部麻醉下对患者进行手术。与开放式缝合修补相比，利希滕斯坦手术后的复发率显著更低，且与腹腔镜技术相当。与腹腔镜技术相比，利希滕斯坦手术导致的内脏损伤较轻，但术后早期疼痛和慢性疼痛更多；然而，长期随访研究中的慢性疼痛发生率相当。
