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成人腹股沟疝的腹横筋膜前路修补术。

An anterior transversalis fascia repair for adult inguinal hernias.

作者信息

Berliner S, Burson L, Katz P, Wise L

出版信息

Am J Surg. 1978 May;135(5):633-6. doi: 10.1016/0002-9610(78)90125-3.

DOI:10.1016/0002-9610(78)90125-3
PMID:646036
Abstract

During the eight year period from 1967 to 1975, 1,020 patients more than eighteen years old underwent 1,311 inguinal herniorrhaphies. Group I consisted of 723 inguinal herniorrhaphies in which either a Bassini or a Cooper's ligament repair was used. During a four to nine year follow-up period, the total recurrence rate was 11.5 per cent; the recurrence rate for the primary repair group was 7 per cent and for the recurrent group 32 per cent. The follow-up rate was 93.7 per cent. Group II consisted of 591 herniorrhaphies in which the repair was performed by an anterior transversalis fascia technic. During a two to five year follow-up period, the total recurrence rate was 2.7 per cent; 1.8 per cent for primary repairs and 8.0 per cent for recurrent hernias. The follow-up rate was 98 per cent (95 per cent by personal examination). Assuming that the recurrences in group II will occur with the same frequency as in group I, our projected four to nine year recurrence rate is 3.4 per cent. This suggests that the anterior transversalis fascia repair results in a lower recurrence rate than either the Bassini or Cooper's ligament repairs.

摘要

在1967年至1975年的八年期间,1020名18岁以上的患者接受了1311例腹股沟疝修补术。第一组包括723例腹股沟疝修补术,采用了巴西尼修补术或库珀韧带修补术。在四至九年的随访期内,总复发率为11.5%;初次修补组的复发率为7%,复发组为32%。随访率为93.7%。第二组包括591例疝修补术,采用腹横筋膜前入路技术进行修补。在两至五年的随访期内,总复发率为2.7%;初次修补为1.8%,复发性疝为8.0%。随访率为98%(95%通过个人检查)。假设第二组的复发频率与第一组相同,我们预计的四至九年复发率为3.4%。这表明腹横筋膜前入路修补术的复发率低于巴西尼修补术或库珀韧带修补术。

相似文献

1
An anterior transversalis fascia repair for adult inguinal hernias.成人腹股沟疝的腹横筋膜前路修补术。
Am J Surg. 1978 May;135(5):633-6. doi: 10.1016/0002-9610(78)90125-3.
2
Cooper's ligament repair: a 25-year experience with a single technique for all groin hernias in adults.库珀韧带修补术:针对成人所有腹股沟疝采用单一技术的25年经验。
Surgery. 1988 Jan;103(1):1-10.
3
Two-layer repair of the transversalis fascia is sufficient for inguinal hernia repair.
Ann R Coll Surg Engl. 1995 Jul;77(4):305-7.
4
[Initial results with transversalis-plasty in the treatment of inguinal hernia].
Helv Chir Acta. 1989 Jun;56(1-2):221-4.
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New technique for inguinal hernia repair.腹股沟疝修补新技术。
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6
[Recurrent inguinal hernias: surgery with transversalis fascia repair].
Helv Chir Acta. 1992 May;58(6):847-50.
7
[Evaluation of the Bassini reconstruction principle for inguinal hernia].
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8
Laparoscopic mesh repair of inguinal hernia using a preperitoneal approach: a preliminary report.经腹膜前入路腹腔镜腹股沟疝补片修补术:初步报告
Surg Laparosc Endosc. 1992 Mar;2(1):53-8.
9
Preliminary results of a prospective randomized study of Cooper's ligament versus Shouldice herniorrhaphy technique.库珀韧带修补术与肖尔代斯疝修补术前瞻性随机研究的初步结果。
Surg Gynecol Obstet. 1992 Oct;175(4):315-9.
10
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引用本文的文献

1
Is the ligation of hernial sac necessary in herniotomy for children? A randomized controlled trial of evaluating surgical complications and duration.小儿疝修补术中疝囊结扎是否必要?一项评估手术并发症及手术时长的随机对照试验。
Adv Biomed Res. 2015 May 11;4:97. doi: 10.4103/2277-9175.156665. eCollection 2015.
2
Early results of inguinal hernia repair by the 'mesh plug' technique--first 200 cases.“网塞”技术修补腹股沟疝的早期结果——首批200例病例
Ann R Coll Surg Engl. 2000 Nov;82(6):396-400.
3
Shouldice inguinal hernia repair in the male adult: the gold standard? A multicenter controlled trial in 1578 patients.
男性成人Shouldice腹股沟疝修补术:金标准?一项针对1578例患者的多中心对照试验。
Ann Surg. 1995 Dec;222(6):719-27. doi: 10.1097/00000658-199512000-00005.
4
The Lichtenstein open "tension-free" mesh repair of inguinal hernias.腹股沟疝的利chtenstein开放式“无张力”疝修补术。
Surg Today. 1995;25(7):619-25. doi: 10.1007/BF00311436.
5
Cooper ligament repair: an update.
World J Surg. 1989 Sep-Oct;13(5):499-505. doi: 10.1007/BF01658862.
6
[Late results following inguinal or femoral hernia surgery].
Langenbecks Arch Chir. 1990;375(1):5-10. doi: 10.1007/BF00186114.
7
[Inguinal hernia repair modified by Kirschner. A critical analysis after 11 years of clinical experience].[基尔希纳改良腹股沟疝修补术。11年临床经验后的批判性分析]
Langenbecks Arch Chir. 1992;377(6):324-31. doi: 10.1007/BF00574768.