Laws H L
Department of Surgery, Carraway Methodist Medical Center, Birmingham, AL, USA.
Ala Med. 1995 Jun;64(12):15-7.
Groin hernias are one of the major problems handled by the surgeon. At this time there appears to be some clear indications for open repair, pretty clear indications for laparoscopic repair, less clear indications for one type anesthesia or the other. There has been a major shift toward utilizing mesh in open repairs and in laparoscopic repairs with no significant increase in complications. Patients should usually be able to return to work, even at labor, within two weeks of the operation. Surgeons and patients should expect to experience a recurrence less than 2% of the time.
腹股沟疝是外科医生处理的主要问题之一。目前,开放修补术有一些明确的指征,腹腔镜修补术的指征也相当明确,而关于采用哪种麻醉方式的指征则不太明确。在开放修补术和腹腔镜修补术中使用补片的情况有了重大转变,并发症并未显著增加。患者通常在术后两周内即可恢复工作,即使是体力劳动者也是如此。外科医生和患者应预期复发率低于2%。