Raynor R W, Del Guercio L R
Surg Gynecol Obstet. 1985 Oct;161(4):367-71.
A review of eight repairs of large hernias of the abdomen pretreated with progressive artificial pneumoperitoneum is presented. Although three recurrences were noted during the follow-up period, two of the recurrences were repaired easily without further herniation. The advantages and complications of this procedure are discussed. Although the use of pneumoperitoneum prior to herniorrhaphy has been well described in the past, current emphasis on prosthetic mesh repairs has overshadowed its advantages. Progressive preoperative pneumoperitoneum as an adjunct to the repair of large abdominal hernias and eventrations should be part of the armamentarium of surgeons who are confronted with these difficult operative problems.
本文介绍了八例经逐步人工气腹预处理的大型腹部疝修补术。尽管在随访期间发现三例复发，但其中两例复发很容易修复，未进一步出现疝。讨论了该手术的优点和并发症。虽然过去已经对疝修补术前使用气腹进行了充分描述，但目前对人工补片修补的重视使其优点被掩盖。逐步术前气腹作为大型腹部疝和腹裂修补术的辅助手段，应成为面对这些困难手术问题的外科医生的手术方法之一。
