Zogbi L
Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Campus da Saúde, Área Acadêmica. Rua Visconde de Paranaguá, 102, Secretaria Geral da FAMED, Zip Code 96203-900, Rio Grande, Brazil.
Hernia. 2018 Jun;22(3):555-557. doi: 10.1007/s10029-018-1767-3. Epub 2018 Apr 19.
The Lichtenstein technique is used worldwide because of its rapid learning curve, good results and low recurrence rates. In this approach, a lateral tie-shaped incision is made on the mesh, involving the spermatic funiculus and thus correcting the deep inguinal ring defect by narrowing it. The lateral tie, however, does not prevent the wrinkling of the upper portion of the mesh that is caused by the arched shape of the inguinal ligament, where the lower edge of the prosthesis is sutured.
To describe a variation of the Lichtenstein technique that is easy to perform, maintains the advantages and prevents wrinkling of the mesh and allows for better mesh accommodation in the inguinal region.
The main feature of this approach is to cut the mesh vertically and to make the tie over the spermatic cord by overlapping the two resulting portions without wrinkling them. The final appearance is clearly more anatomical, allowing the mesh to be perfectly adapted for each patient.
We operated on consecutive patients using this approach for more than 5 years. There have been no recurrences or specific mesh complications during follow-up, and the surgical aspect of this technique was clearly more anatomical.
This method appears to be easier to perform and the surgical aspects of the technique are more anatomical for the patient.
利chtenstein技术因其学习曲线短、效果良好且复发率低而在全球范围内被广泛应用。在这种方法中，在补片上做一个横向的带状切口，涉及精索，从而通过缩小内环来纠正腹股沟管深环缺损。然而，横向系带并不能防止补片上部因腹股沟韧带的拱形形状（假体下缘在此处缝合）而产生褶皱。
描述一种利chtenstein技术的变体，该变体操作简便，保留了原有优点，可防止补片起皱，并能使补片在腹股沟区域更好地贴合。
该方法的主要特点是垂直切割补片，并将两个切割后的部分重叠，在精索上方进行系带操作，使补片不起皱。最终外观明显更符合解剖结构，能让补片完美适配每位患者。
我们采用这种方法连续为患者进行手术超过5年。随访期间无复发或特定的补片相关并发症，且该技术的手术外观明显更符合解剖结构。
这种方法似乎操作更简便，且该技术的手术外观对患者而言更符合解剖结构。
