Knyazeva P, Alesina P F, Stadelmeier P, Anaya-Cortez M, Walz M K
Klinik für Chirurgie und Zentrum für Minimal Invasive Chirurgie, Kliniken Essen-Mitte, Akademisches Lehrkrankenhaus der Universität Duisburg-Essen, Henricistrasse 92, 45136, Essen, Germany.
Hernia. 2017 Oct;21(5):799-801. doi: 10.1007/s10029-017-1629-4. Epub 2017 Jun 14.
To present a new and alternative method for surgical treatment of recurrent inguinal hernia after total extraperitoneal patch plastic (TEP).
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.
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.
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.
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。
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。
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。
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。
