完全腹膜外补片修补术后复发性腹股沟疝修补的简化手术技术
A simplified surgical technique for recurrent inguinal hernia repair following total extraperitoneal patch plastic.
作者信息
Knyazeva P, Alesina P F, Stadelmeier P, Anaya-Cortez M, Walz M K
机构信息
Klinik für Chirurgie und Zentrum für Minimal Invasive Chirurgie, Kliniken Essen-Mitte, Akademisches Lehrkrankenhaus der Universität Duisburg-Essen, Henricistrasse 92, 45136, Essen, Germany.
出版信息
Hernia. 2017 Oct;21(5):799-801. doi: 10.1007/s10029-017-1629-4. Epub 2017 Jun 14.
PURPOSE
To present a new and alternative method for surgical treatment of recurrent inguinal hernia after total extraperitoneal patch plastic (TEP).
METHODS
From January 2005 to September 2015, 35 patients (34 male, 1 female; mean age 65 ± 12.6 years) with recurrent inguinal hernia following TEP were operated at the Kliniken Essen-Mitte using a simplified method consisting of re-fixation of the primary mesh to the inguinal ligament by an anterior approach.
RESULTS
The mean operating time was 47 ± 22 min. All complications were minor with an overall incidence of 6%. After a mean follow-up of 54 months one re-recurrence was observed.
CONCLUSIONS
This Simplified Hernia Repair is safe and avoids additional foreign body implantation. Therefore, it is our method of choice for recurrent inguinal hernias after TEP.
目的
介绍一种用于完全腹膜外补片修补术（TEP）后复发性腹股沟疝手术治疗的新的替代方法。
方法
2005年1月至2015年9月，35例TEP术后复发性腹股沟疝患者（34例男性，1例女性；平均年龄65±12.6岁）在埃森-米特诊所采用一种简化方法进行手术，该方法包括通过前路将原补片重新固定于腹股沟韧带。
结果
平均手术时间为47±22分钟。所有并发症均较轻微，总发生率为6%。平均随访54个月后观察到1例再次复发。
结论
这种简化疝修补术安全且避免了额外的异物植入。因此，它是我们治疗TEP术后复发性腹股沟疝的首选方法。
Zotero 插件