Shulman A G, Amid P K, Lichtenstein I L
Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California.
Int Surg. 1993 Apr-Jun;78(2):152-3.
High ligation of indirect hernia sacs in adults is still commonly practiced. Animal and clinical studies have shown that this is unnecessary. To previous studies we add our own experience of over 6,321 adult hernia repairs in which the sacs were rarely excised and never ligated. The questionable logic leading to high ligation is outlined. Experience reveals that non-ligation of indirect sacs is harmless and may decrease post-operative pain.
成人腹股沟斜疝疝囊高位结扎术仍被普遍应用。动物研究和临床研究均表明此举并无必要。在以往研究的基础上，我们补充了自己超过6321例成人疝修补手术的经验，在这些手术中，疝囊很少被切除，从未被结扎。文中概述了导致高位结扎的可疑逻辑。经验表明，不结扎斜疝疝囊无害，且可能减轻术后疼痛。
