Glassow F
Can Med Assoc J. 1973 Feb 3;108(3):308-13.
This paper is based on 15,000 hernia repairs performed by the author at the Shouldice Hospital, Toronto. Experience with more than 75,000 consecutive herniorrhaphies performed in this hospital from 1945 to 1970 is reviewed in four parts - statistics, including recurrence rates; the management of the patient with a primary uncomplicated hernia, emphasizing in particular the preoperative phase, the sedation given, the local anesthetic used in 95% of cases and the postoperative phase; the technique of repair of a primary inguinal hernia; and a review of experience with primary and recurrent femoral hernias, emphasizing the different problems in men and women, and describing the technique of femoral repair.
本文基于作者在多伦多绍尔代斯医院进行的15000例疝气修补手术。本文对1945年至1970年在该医院连续进行的75000多例疝修补术的经验进行了四个部分的回顾——统计数据，包括复发率；原发性无并发症疝气患者的管理，特别强调术前阶段、给予的镇静剂、95%的病例中使用的局部麻醉剂以及术后阶段；原发性腹股沟疝的修补技术；以及对原发性和复发性股疝经验的回顾，强调男性和女性的不同问题，并描述股疝修补技术。
