Coco Danilo, Leanza Silvana, Reina Giuseppe Angelo
Department of General Surgery, Ospedali Riuniti Marche Nord, Pesaro, Italy.
Department of General Surgery, Carlo Urbani Hospital, Jesi, Ancona, Italy.
Maedica (Bucur). 2022 Jun;17(2):481-486. doi: 10.26574/maedica.2022.17.2.481.
One of the most frequent surgeries performed across the world is an inguinal hernia repair, with at least twenty million people undergoing this procedure each year. The prevalence of groin hernia, defined as projections of adipose tissue or viscera through the femoral or inguinal canal, is 3-6% for women and 27-43% for men. Obstruction of the small bowel is one of the most frequent reasons for a strangulated hernia. The risk of strangulation per annum for a groin hernia is approximately 1-3%. The surgical method used to treat an emergency inguinal hernia surgery remains controversial. The elevated risk of complications and infections using prosthetic as opposed to pure tissue repair accounts for an increased likelihood of contamination of the surgical site and necrosis. To ascertain the utility of the Desarda technique in emergency hernia surgery, a systematic review in conjunction with a meta-analysis was performed, with a particular focus on duration of hospital stay, estimated operating time, relapse rate, and postoperative complications.
腹股沟疝修补术是全球最常见的手术之一，每年至少有2000万人接受这一手术。腹股沟疝的患病率，即脂肪组织或内脏通过股管或腹股沟管突出的情况，女性为3%至6%，男性为27%至43%。小肠梗阻是绞窄性疝最常见的原因之一。腹股沟疝每年发生绞窄的风险约为1%至3%。用于治疗急诊腹股沟疝手术的手术方法仍存在争议。与单纯组织修复相比，使用假体导致并发症和感染的风险升高，这使得手术部位污染和坏死的可能性增加。为了确定Desarda技术在急诊疝手术中的效用，我们进行了一项系统综述并结合荟萃分析，特别关注住院时间、估计手术时间、复发率和术后并发症。
