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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。

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