Said S, Zieren J, Pichlmaier H
Chirurgische Klinik und Poliklinik, Universität zu Köln.
Zentralbl Chir. 1993;118(12):759-66.
While classical inguinal hernia repair has recently been brought up for discussions among surgeons, at present various modified techniques are being reintroduced in general surgery. Surgical hernia repair techniques which partly are known since several decades are being carried out laparoscopically since 1989. Between August 1992 and June 1993, the authors performed 52 laparoscopic inguinal hernia repairs using the preperitoneal placement of nonresorbable mesh. There were no intraoperative complications. Merely one patient had an abdominal wall hematoma at the site of a trocar which resolved spontaneously. All patients have been followed up for 3-13 months. To date, all postoperative check ups revealed no recurrences, testicular atrophy or paresthesia. Even though little can yet be said regarding long-term results especially about recurrences, laparoscopic preperitoneal hernia repair seems to be a promising surgical procedure concerning early postoperative results.
虽然经典腹股沟疝修补术最近已成为外科医生讨论的话题,但目前普通外科正在重新引入各种改良技术。部分已有数十年历史的外科疝修补技术自1989年起开始通过腹腔镜进行。1992年8月至1993年6月期间,作者采用不可吸收补片腹膜前放置法进行了52例腹腔镜腹股沟疝修补术。术中无并发症发生。仅1例患者在套管针穿刺部位出现腹壁血肿,自行消退。所有患者均随访3至13个月。迄今为止,所有术后检查均未发现复发、睾丸萎缩或感觉异常。尽管关于长期结果,尤其是复发情况目前还很难说,但就术后早期结果而言,腹腔镜腹膜前疝修补术似乎是一种很有前景的外科手术。