Amendolara M, Perri S, Breda E, Valenti G, Busso A, Gelmi G
Divisione di Chirurgia Generale, U.L.S.S.N. 34 Arzignano-Montecchio Maggiore, VI.
G Chir. 1995 May;16(5):239-44.
The Authors report their experience in the surgical management of 282 inguinal hernias classified according to Gilbert's classification. The different techniques used were compared analysing the results obtained in 104 patients operated with the Bassini hernioplasty, while in 120 cases the Lichteinstein tension-free repair and in 58 cases the Shouldice hernioplasty were performed. In the patients operated according to the Lichteinstein tension-free technique an Autosuture mesh was used. The Authors conclude that the Lichteinstein tension-free repair is preferable, not simply for the incidence, although low in this series, of recurrence observed with the Bassini hernioplasty, but particularly for the reduced postoperative pain, the fast return to full activities, the low cost, and the possibility to be performed in Day-Hospital.
作者报告了他们对282例根据吉尔伯特分类法分类的腹股沟疝进行手术治疗的经验。比较了所采用的不同技术，分析了104例行巴西尼疝修补术患者的手术结果，120例行利希滕斯坦无张力修补术，58例行肖尔代斯疝修补术。在采用利希滕斯坦无张力技术手术的患者中使用了自动缝合补片。作者得出结论，利希滕斯坦无张力修补术更可取，这不仅是因为在本系列中巴西尼疝修补术观察到的复发率较低，还特别因为术后疼痛减轻、能快速恢复正常活动、成本低以及可在日间医院进行手术。
