Felix E L, Michas C A, McKnight R L
Center for Hernia Repair, Fresno, CA 93710, USA.
Surg Endosc. 1995 Feb;9(2):135-8; discussion 138-9. doi: 10.1007/BF00191953.
The purpose of this study was to evaluate the results of a laparoscopic approach to recurrent inguinal hernia repair which dissected the entire inguinal floor and repaired all potential areas of recurrence without producing tension. Both a transabdominal preperitoneal and a totally extraperitoneal laparoscopic approach were utilized. Ninety recurrent hernias were repaired in 81 patients. The patients had 26 indirect, 36 direct, and 26 pantaloon recurrent hernias of which eight had a femoral component. In all but one patient the primary operations were open anterior repairs. The median follow-up was 14 months, ranging from 1 to 28 months. Patients returned to normal activities in an average of 1 week. The only recurrence observed was in the one patient whose primary repair was laparoscopic. When the entire inguinal floor of the recurrent hernia was redissected and buttressed with mesh, early recurrence was eliminated and recovery was shortened.
本研究的目的是评估一种腹腔镜治疗复发性腹股沟疝修补术的效果，该手术对整个腹股沟底部进行解剖，并修复所有可能复发的部位，且不产生张力。采用了经腹腹膜前和完全腹膜外腹腔镜两种手术方式。81例患者共修复了90例复发性疝。患者有26例间接性、36例直接性和26例裤型复发性疝，其中8例有股疝成分。除1例患者外，其余患者的初次手术均为开放式前路修补术。中位随访时间为14个月，范围为1至28个月。患者平均1周后恢复正常活动。观察到的唯一复发发生在初次修补为腹腔镜手术的1例患者身上。当对复发性疝的整个腹股沟底部重新进行解剖并用补片加强时，早期复发得以消除，恢复时间缩短。
