Alexandre J H, Dupin P, Levard H, Billebaud T
Presse Med. 1984 Jan 28;13(3):161-3.
The authors describe their technique of "thorough" dissection of the spermatic cord by the inguinal route. After parietalization of the cord and ligature of the epigastric vessels, a wide prosthesis of unsplit mersylene can be inserted through the groin behind the muscular layer brought down to Cooper's ligament. From their experience of 120 patients operated upon and without relapse at follow-up, they feel able to recommend this method in cases of recurrent hernias with weak walls and large sac and of hernias occurring in elderly of obese subjects.
作者描述了他们经腹股沟途径对精索进行“彻底”解剖的技术。在精索腹膜化和腹壁下血管结扎后，一块未分割的宽涤纶补片可经腹股沟插入降至 Cooper 韧带的肌层后方。根据他们对 120 例接受手术且随访无复发患者的经验，他们认为对于复发性疝、疝囊大且腹壁薄弱的患者以及老年或肥胖患者发生的疝，该方法值得推荐。
