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[巴锡尼氏手术治疗腹股沟疝的最新进展]

[An update of Bassini's operation for the treatment of inguinal hernia].

作者信息

Morone G, Meriggi F, Forni E

机构信息

Clinica Chirurgica Generale, Università degli Studi di Pavia.

出版信息

G Chir. 1994 Jun-Jul;15(6-7):317-20.

PMID:7946992
Abstract

Although the Bassini hernioplasty has been criticized, particularly by North American surgeons because of a high incidence of recurrence, among the techniques used for inguinal hernia repair, the Bassini method, in authors' opinion, is still the best if correctly performed. In fact, the transversalis fascia division is fundamental to obtain a better mobilization of the triple layer (transversalis fascia, transversus abdominis, internal oblique) which can approach the inguinal ligament without tension. Hernia repair is achieved by suturing this layer to the pubic tubercle and inguinal ligament with separated stitches.

摘要

尽管巴西尼疝修补术受到了批评,尤其是北美外科医生因其复发率高而提出批评,但在用于腹股沟疝修补的技术中,在作者看来,如果操作正确,巴西尼法仍是最佳方法。事实上,横筋膜的分离对于更好地游离三层组织(横筋膜、腹横肌、腹内斜肌)至关重要,这三层组织可以无张力地靠近腹股沟韧带。通过用间断缝线将这一层缝合到耻骨结节和腹股沟韧带上,实现疝修补。

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