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里夫斯-斯托帕修补术与双侧腹股沟疝修补术:手术技术及患者预后的综合综述

Rives-Stoppa Repair Versus Bilateral Inguinal Hernioplasty: A Comprehensive Review of Surgical Techniques and Patient Outcomes.

作者信息

Ram Sohan Poosarla, Mahakalkar Chandrashekhar, Kshirsagar Shivani, Bikkumalla Shruthi, Reddy Srinivasa, Hatewar Akansha, Dixit Sparsh

机构信息

General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jul 26;16(7):e65439. doi: 10.7759/cureus.65439. eCollection 2024 Jul.

Abstract

Hernia repair surgery is a common procedure to address the protrusion of organs or tissues through weakened muscles or connective tissue. This review compares two prominent surgical techniques for hernia repair: the Rives-Stoppa repair and bilateral inguinal hernioplasty. The Rives-Stoppa repair involves a posterior approach with extensive mesh placement suitable for complex and recurrent hernias. In contrast, bilateral inguinal hernioplasty focuses on simultaneously repairing bilateral hernias, potentially reducing operative time and enhancing recovery. This review examines each approach's technical aspects, including incision methods, mesh placement, and closure techniques. Patient outcomes, such as postoperative pain, recovery time, recurrence rates, and quality of life, are critically analyzed based on current research and clinical data. Economic considerations are also evaluated, encompassing each technique's cost-effectiveness and economic impact. By synthesizing these findings, this review aims to provide valuable insights for surgeons, healthcare providers, and policymakers in optimizing hernia repair strategies. The evolving landscape of surgical techniques and materials underscores the importance of ongoing research to refine practices and improve outcomes for patients undergoing hernia repair surgery.

摘要

疝修补手术是一种常见的手术,用于解决器官或组织通过薄弱肌肉或结缔组织突出的问题。本综述比较了两种主要的疝修补手术技术:里夫斯-斯托帕修补术和双侧腹股沟疝修补术。里夫斯-斯托帕修补术采用后路入路,广泛放置补片,适用于复杂和复发性疝。相比之下,双侧腹股沟疝修补术专注于同时修复双侧疝,可能会减少手术时间并促进恢复。本综述研究了每种方法的技术方面,包括切口方法、补片放置和缝合技术。基于当前研究和临床数据,对患者的术后疼痛、恢复时间、复发率和生活质量等结果进行了严格分析。还评估了经济因素,包括每种技术的成本效益和经济影响。通过综合这些发现,本综述旨在为外科医生、医疗保健提供者和政策制定者优化疝修补策略提供有价值的见解。手术技术和材料的不断发展凸显了持续研究对于改进疝修补手术患者的手术操作和改善治疗效果的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8327/11345036/06396faf191e/cureus-0016-00000065439-i01.jpg

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