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[一种用于经腹膜前或腹膜下途径治疗复发性或非复发性双侧疝的新材料和简化技术]

[A new material and a simplified technic for treatment of recurrent or nonrecurrent bilateral hernias by the preperitoneal or subperitoneal approach].

作者信息

Kron B

出版信息

J Chir (Paris). 1984 Aug-Sep;121(8-9):491-4.

PMID:6501452
Abstract

Difficulties arise during surgical treatment of recurrent or non-recurrent bilateral hernia, the use of a median approach alone requiring the insertion of prosthetic material. Recurrence can be avoided if the material is reliable, and there is no risk of its migration or displacement. This applies to crinoplates, which allow the positioning of a relatively rigid but supple material of a size adapted to the pathological inguinal orifices, ensuring perfect reliability of this finally fairly simple operation. The use of two separate plates allows rapid surgery and a short incision, avoiding suprapubic eventration. The fact that the cord pierces the previously drilled plate prevents fixation and any risk of displacement, principal cause of recurrences. Excellent results without recurrence, and total lack of septic complications, were obtained in 200 cases operated upon by this method.

摘要

在复发性或非复发性双侧疝的外科治疗过程中会出现困难,仅采用正中入路需要植入修复材料。如果材料可靠,且不存在移位或位移风险,就可以避免复发。这适用于网片,它能放置一块尺寸适合病理性腹股沟孔的相对坚硬但柔韧的材料,确保这种最终相当简单的手术具有完美的可靠性。使用两块分开的网片可以实现快速手术和小切口,避免耻骨上脏器膨出。精索穿过预先钻孔的网片这一事实可防止固定及任何移位风险,而移位是复发的主要原因。用这种方法进行手术的200例患者均取得了无复发的优异效果,且完全没有感染并发症。

相似文献

1
[A new material and a simplified technic for treatment of recurrent or nonrecurrent bilateral hernias by the preperitoneal or subperitoneal approach].[一种用于经腹膜前或腹膜下途径治疗复发性或非复发性双侧疝的新材料和简化技术]
J Chir (Paris). 1984 Aug-Sep;121(8-9):491-4.
2
Prospective study of open preperitoneal mesh repair for recurrent inguinal hernia.开放性腹膜前补片修补术治疗复发性腹股沟疝的前瞻性研究
Br J Surg. 2002 Jan;89(1):90-3. doi: 10.1046/j.0007-1323.2001.01956.x.
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[The use of prostheses in recurrent hernias].[人工假体在复发性疝中的应用]
Boll Soc Ital Biol Sper. 1984 Dec 30;60(12):2297-302.
4
[Preperitoneal prosthesis implantation in surgical management of recurrent inguinal hernia. Retrospective evaluation of our results 1989-1994].
Chirurg. 1996 Apr;67(4):394-402.
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[Treatment of bilateral inguinal hernia by subperitoneal prosthetic parietoplasty. Value of PTFE].[经腹膜下人工补片修补术治疗双侧腹股沟疝。聚四氟乙烯的价值]
J Chir (Paris). 1994 Mar;131(3):117-20.
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[The repair of inguinal and/or crural hernias with giant Mersilene prostheses in the preperitoneal position].[使用大型Mersilene假体在腹膜前位置修复腹股沟和/或股疝]
Minerva Chir. 1993 Sep 30;48(18):1007-10.
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[Urological surgical effect of the repair of inguinal hernia using bilateral subperitoneal prosthetic mesh].双侧腹膜下人工补片修补腹股沟疝的泌尿外科手术疗效
Ann Urol (Paris). 1991;25(3):138-41.
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Recurrent inguinal hernia repair by open preperitoneal approach.经腹膜前开放入路复发性腹股沟疝修补术
J Coll Physicians Surg Pak. 2005 May;15(5):261-5.
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[Subperitoneal inguinal hernioplasty by anterior approach, using a memory-ring patch. Preliminary results].[经前路使用记忆环补片行腹膜下腹股沟疝修补术。初步结果]
Ann Chir. 2006 Dec;131(10):590-4. doi: 10.1016/j.anchir.2006.06.005. Epub 2006 Jun 27.
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[Cure of inguino-crural herniae through median preperitoneal route and teflon prosthesis. Personal series of 56 cases (author's transl)].经腹膜前正中入路及聚四氟乙烯假体治疗腹股沟疝。作者个人的56例病例系列(作者译)
Acta Chir Belg. 1979 Sep-Oct;78(5):317-23.

引用本文的文献

1
History of treatment of groin hernia.腹股沟疝的治疗史。
World J Surg. 2002 Jun;26(6):748-59. doi: 10.1007/s00268-002-6297-5. Epub 2002 Mar 26.
2
Preperitoneal herniorrhaphy: a historical review.腹膜前疝修补术:历史回顾
World J Surg. 1989 Sep-Oct;13(5):532-9; discussion 539-40. doi: 10.1007/BF01658866.