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腹股沟疝假体修复的腹膜前入路。

A preperitoneal approach in the prosthetic repair of inguinal hernia.

作者信息

Van Damme J P

出版信息

Int Surg. 1985 Jul-Sep;70(3):223-6.

PMID:2940200
Abstract

A series of one hundred consecutive patients who underwent prosthetic repair of inguinal hernia through a preperitoneal approach is reported. In 49% the hernia was recurrent. A large prosthetic sheet (Dacron or Teflon) is placed between the peritoneal sac and the wall, to cover the inguinal, femoral and hypogastric regions as well as the abdominal incision. It is not fixed but kept in place by abdominal pressure. The spermatic cord passes through a slit in the sheet that is closed afterwards. There were no recurrences and only one infection. The follow-up, however, is still short (60% of the patients (81 hernias) over one year, 37% (49 hernias) over two years).

摘要

报告了连续100例通过腹膜前途径进行腹股沟疝人工修复的患者。其中49%的疝为复发性疝。在腹膜囊和腹壁之间放置一块大的人工补片(涤纶或特氟龙),以覆盖腹股沟区、股区和下腹区以及腹部切口。补片不固定,靠腹压固定在位。精索穿过补片上的一个狭缝,之后将狭缝闭合。术后无复发病例,仅1例感染。然而,随访时间仍较短(81例疝患者随访超过1年,占60%;49例疝患者随访超过2年,占37%)。

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A preperitoneal approach in the prosthetic repair of inguinal hernia.腹股沟疝假体修复的腹膜前入路。
Int Surg. 1985 Jul-Sep;70(3):223-6.
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