Mikhin I V, Polyakov A A, Kosivtsov O A, Ryaskov L A
Chair of Surgical Diseases of Pediatric and Dental Faculties, Volgograd State Medical University of Ministry of Health of the Russian Federation, Volgograd, Russia.
Khirurgiia (Mosk). 2019(3):121-128. doi: 10.17116/hirurgia2019031121.
This article is devoted to general and particular problems of inguinal hernia repair through the analysis of statistical data and comparison of advantages and disadvantages of various methods of inguinal hernia repair. Particular attention is paid to the analysis of current options of mesh implant fixing during endoscopic hernia repair: TAPP, TER, e-TER. Long-term outcomes are essential to determine surgical technique. The authors consider that careful adherence to the basic principles of minimally invasive surgery can reduce the incidence of complications, recurrences and chronic pain syndrome after inguinal hernia repair. The main advantages of current surgical technologies are accelerated rehabilitation, earlier restoration of social activity, improvement of the quality of life.
本文通过对统计数据的分析以及腹股沟疝修补各种方法优缺点的比较,致力于探讨腹股沟疝修补的一般和特殊问题。特别关注了内镜下疝修补术中网片植入固定的当前选择的分析:经腹腹膜前疝修补术(TAPP)、全腹膜外疝修补术(TER)、内镜下全腹膜外疝修补术(e - TER)。长期结果对于确定手术技术至关重要。作者认为,严格遵循微创手术的基本原则可以降低腹股沟疝修补术后并发症、复发和慢性疼痛综合征的发生率。当前手术技术的主要优点是加速康复、更早恢复社交活动、提高生活质量。