Seglie E, Potente F
Divisione di Chirurgia Generale, Ospedale S. Croce, Moncalieri, Torino.
Minerva Chir. 1994 Jul-Aug;49(7-8):677-80.
The treatment of bilateral inguinal hernias is an operation which has a high failure rate. This operation is influenced by a number of factors, above all the strain on aponeuroses and muscle fibres during reconstructive plastic surgery. In addition, metabolic factors, the advanced age and in particular surgical infections should also be taken into account. Over the course of past years synthetic prostheses have been introduced for hernia treatment (tantalum, nylon, steel, ivalon); currently, polypropylene, dacron and goretex are used. Placement may be intraperitoneal, preperitoneal and prefascial. The authors report their experience from December 1989 to December 1991 in relation to 70 patients undergoing surgery for bilateral inguinal hernias. The following results were obtained: a low percentage of complications, reduction of costs and no recidivation to date. These results enable the authors to affirm that the use of synthetic mesh for the treatment of bilateral inguinal hernias is the most appropriate method of choice.
双侧腹股沟疝的治疗是一种失败率很高的手术。该手术受到多种因素的影响，最重要的是重建整形手术过程中腱膜和肌纤维所承受的张力。此外，代谢因素、高龄，尤其是手术感染也应予以考虑。在过去几年中，已引入合成假体用于疝修补（钽、尼龙、钢、聚乙烯醇泡沫塑料）；目前，使用的是聚丙烯、涤纶和戈尔特斯。放置方式可以是腹膜内、腹膜前和筋膜前。作者报告了他们在1989年12月至1991年12月期间对70例接受双侧腹股沟疝手术患者的经验。获得了以下结果：并发症发生率低、成本降低且至今无复发。这些结果使作者能够肯定，使用合成网片治疗双侧腹股沟疝是最合适的选择方法。
