Capozzi J A, Berkenfield J A, Cherry J K
Department of Surgery, Scripps Memorial Hospital, La Jolla, California.
Surg Gynecol Obstet. 1988 Aug;167(2):124-8.
Three surgeons in the private practice of general surgery began to use Prolene (polypropylene) mesh in the treatment of all adult inguinal hernias in 1978. The reason for using this technique was to perform a truly tension-free repair to reduce the recurrence rate and produce less pain and disability postoperatively. The rational for using Prolene as the mesh material is discussed in relation with the other materials available. The technique is outlined in detail along with precautions to decrease the already low recurrence rate documented in this series. From 1978 through 1985, 745 repairs were analysed. The complication and recurrence rates were minimal, and the follow-up rate was 87 per cent. A plea is made not to report recurrence rates without follow-up rates. This technique is simple and effective and should be seriously considered in the treatment of hernias occurring in adults.
1978年，三名从事普通外科私人执业的外科医生开始使用普理灵（聚丙烯）补片治疗所有成人腹股沟疝。采用这种技术的原因是进行真正的无张力修补，以降低复发率，并减少术后疼痛和功能障碍。结合其他可用材料讨论了使用普理灵作为补片材料的理论依据。详细概述了该技术以及降低本系列中已记录的本来就低的复发率的注意事项。对1978年至1985年期间的745例修补手术进行了分析。并发症和复发率极低，随访率为87%。呼吁在报告复发率时应同时报告随访率。该技术简单有效，在治疗成人疝时应予以认真考虑。
