Himpens J M
Department of General Surgery, Algemene Kliniek H. Familie, Gent, Belgium.
Surg Endosc. 1993 Jul-Aug;7(4):315-8. doi: 10.1007/BF00725948.
Laparoscopic hernioplasty was performed in a prospective fashion in 100 inguinal hernias in 66 patients. When available, a self-expanding prosthesis of Mersilene, strengthened with a cross- or star-shaped wire of Nitinol, was used without fixation (group B, 43 hernias). When this prosthesis was not available, a "classic" Prolene prosthesis was used, placed preperitoneally, and stapled according to the technique of Corbitt (group A, 57 hernias). This study compares the results of the two techniques. The use of a mesh-expanding Nitinol frame significantly shortens the operating time. Since two recurrences appeared in this group, we suggest that this modified mesh should also be stapled in place.
对66例患者的100例腹股沟疝进行了前瞻性腹腔镜疝修补术。如有可用的，使用一种用镍钛诺十字形或星形金属丝加强的可自膨胀的Mersilene假体，不进行固定（B组，43例疝）。当没有这种假体时，使用“经典”的普理灵假体，经腹膜前放置，并根据Corbitt技术进行缝合（A组，57例疝）。本研究比较了两种技术的结果。使用带网片扩张镍钛诺框架可显著缩短手术时间。由于该组出现了2例复发，我们建议这种改良网片也应缝合固定在位。
