Mappes C, Elger K, Kiffner E
Urologische Klinik, Johannes Gutenberg-Universität Mainz, Germany.
Ann Urol (Paris). 1995;29(2):123-6.
300 laparoscopic treatments of inguinal hernia repair have be done in our hospital between may 1992 and juin 1994. 134 times we have seen a median hernia and 166 times a lateral one. In 44 patients (14%) we did the repair of hernia for bilateral disease. In 66 cases we underwent for recidive; 55 times after hernia repair by the Bassini technique or Shouldice technique, and only 8 times after laparoscopic repair. In 1.4% we have seen early recidivism, no more then in the classical technique. Of course philosophy of this technique is very different to the traditional repair of inguinal hernia, but the encouraging results, important decrease of pain after surgery and the early uptake of normal activity are the reasons why we use this technique for nearly all recidivism of hernia repair and even for a great number of important hernias.
1992年5月至1994年6月间，我院共进行了300例腹腔镜腹股沟疝修补术。其中，中位疝134例，外侧疝166例。44例（14%）患者因双侧疾病进行了疝修补术。66例为复发性疝，其中55例是在采用巴西尼技术或肖尔代斯技术修补疝之后复发，而腹腔镜修补术后仅8例复发。早期复发率为1.4%，并不高于传统技术。当然，该技术的理念与传统腹股沟疝修补术有很大不同，但令人鼓舞的结果、术后疼痛显著减轻以及能早期恢复正常活动，这些都是我们几乎将该技术用于所有疝修补复发情况甚至大量大型疝修补的原因。
