Lifschutz H, Juler G L
Arch Surg. 1986 Jun;121(6):717-9. doi: 10.1001/archsurg.1986.01400060113016.
We performed 115 nylon darn repairs in 100 patients with inguinal hernia; 61 were primary and 54 secondary repairs, with 50 patients in each group. The Kinmonth modification of the Moloney darn was used. Thirty-seven percent of secondary repairs were done in patients with two or more previous repairs. Thirteen patients had indirect hernia repairs. The follow-up on 105 repairs in 90 patients averaged 62 months. There were two (3.5%) primary and four (8.3%) secondary repair recurrences. The six failures (5.7%) overall were either technical errors or improper patient selection. Three superficial wound infections (2.6%) healed without complications or suture sinuses. The inguinal darn for recurrent inguinal hernias appears to have a lower recurrence rate than the reported 15% to 30% following other techniques.
我们对100例腹股沟疝患者进行了115次尼龙补片修补术；其中61例为初次修补，54例为二次修补，每组各50例患者。采用了莫洛尼补片的金蒙特改良术式。二次修补中有37%是在曾接受过两次或更多次修补的患者中进行的。13例患者进行了间接疝修补术。对90例患者的105次修补术的随访平均为62个月。有2例（3.5%）初次修补和4例（8.3%）二次修补出现复发。总体6例失败（5.7%）均为技术失误或患者选择不当。3例表浅伤口感染（2.6%）愈合，未出现并发症或缝线窦道。复发性腹股沟疝的腹股沟补片修补术的复发率似乎低于其他技术报道的15%至30%。
