Baranger B, Tardat E, Guyon P, Darrieus H, Vicq P, Pailler J L
Service de Chirurgie Viscérale, HIA Val de Grâce, Paris.
J Chir (Paris). 1994 Mar;131(3):117-20.
This retrospective study reviews 211 patients having sustained a bilateral groin hernia repair during a 3 year period. The procedure was the same for all the patients: via a Pfannensteil approach, a pre peritoneal prosthetic repair is performed, using two ePTFE patches, after resection of the hernial sacs and closure of the parietal gaps. The mean follow up was 2 years. During the post operative course, thirty seven of 211 patients sustained 10 local complications, 9 urethral catheter related complications and 11 residual pain. No prostheses infection or testicular atrophy was observed. Nine patients had recurrences (2.2% of 422 repairs). All the recurrences were due to incorrect technique, eight were successfully re operated on--Expanded PTFE is a reliable prosthetic material, easy to handle and well adapted to preperitioneal hernia repair.
这项回顾性研究对211例在3年期间接受双侧腹股沟疝修补术的患者进行了评估。所有患者的手术方式相同：采用Pfannensteil入路，在切除疝囊并封闭腹壁缺损后，使用两片ePTFE补片进行腹膜前假体修补。平均随访时间为2年。在术后过程中，211例患者中有37例出现了10例局部并发症、9例与尿道导管相关的并发症以及11例残留疼痛。未观察到假体感染或睾丸萎缩。9例患者出现复发（422次修补中的2.2%）。所有复发均归因于技术错误，其中8例成功再次手术——膨化聚四氟乙烯是一种可靠的假体材料，易于操作且非常适合腹膜前疝修补。
