Gross E, Köfüncü O
I. Chirurgische Abteilung, Allgemeines Krankenhaus Barmbek, Hamburg.
Zentralbl Chir. 1994;119(4):207-13; discussion 213.
The preperitoneal approach with implantation of a dacron sheet was applied in 37 patients with recurrent hernias and in 30 patients with primary bilateral hernias. In total 120 hernias were repaired. The patients were controlled prospectively for serious complications. The patients were examined every 3 months in the first and every 6 months in the second year after operation. The mean follow-up time was 17.2 months.
In one patient with a combined hernia an indirect hernia sac was not detected intraoperatively, so it persisted. Recurrences were not observed. COMPLICATIONS (hematoma, fluid collections, wound infections, intraabdominal adhesions) occurred in 13.2 of the patients.
The preperitoneal implantation of a dacron sheet is a safe and reliable procedure for treatment of recurrent groin hernias and primary hernias with a high risk of recurrence. The rate of infection is low under preventing measures.
对37例复发性疝患者和30例原发性双侧疝患者采用腹膜前入路并植入涤纶补片。共修复120例疝。对患者进行前瞻性严重并发症监测。术后第一年每3个月检查一次患者，第二年每6个月检查一次。平均随访时间为17.2个月。
1例合并疝患者术中未发现间接疝囊，因此疝囊持续存在。未观察到复发情况。13.2%的患者出现并发症（血肿、积液、伤口感染、腹腔内粘连）。
腹膜前植入涤纶补片是治疗复发性腹股沟疝和复发风险高的原发性疝的一种安全可靠的方法。在预防措施下感染率较低。
