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一种用于腹股沟疝修补的“新型”非网片技术:重温E. 怀利·安德鲁斯及其重叠手术法

A "New" Nonmesh Technique for Inguinal Hernia Repair: Revisiting E. Wyllys Andrews and His Imbricating Operation.

作者信息

Yerxa John, Wang Hanghang, Pappas Theodore N

机构信息

From the Trauma and Acute Care Surgery, University of Miami/Jackson Health System, Miami, FL.

Division of Thoracic Surgery, Johns Hopkins University Medical Center, Baltimore, MD.

出版信息

Ann Surg Open. 2023 Jun 29;4(3):e310. doi: 10.1097/AS9.0000000000000310. eCollection 2023 Sep.

Abstract

The use of prosthetic mesh to repair inguinal hernias has been common practice at surgical centers around the world for more than 30 years. Open tissue repairs are the alternative for patients who cannot have, do not want, or are not offered mesh. Open tissue repairs are troubled by inferior recurrence rates in most clinical trials. In this article, we will review a long-forgotten tissue repair described by Andrews in 1895. In addition, we report on our early experience with the Andrews technique for primary inguinal hernia tissue repair.

摘要

在世界各地的外科中心,使用人工合成补片修复腹股沟疝已有30多年的历史了。开放组织修复是那些不能使用、不想使用或未被提供补片的患者的替代选择。在大多数临床试验中,开放组织修复的复发率较高,存在问题。在本文中,我们将回顾安德鲁斯于1895年描述的一种早已被遗忘的组织修复方法。此外,我们还报告了我们使用安德鲁斯技术进行原发性腹股沟疝组织修复的早期经验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2ac/10513125/86db4fdae0b0/as9-4-e310-g001.jpg

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