Hoffman H C, Traverso A L
Swedish Hospital Medical Center, Seattle, Wash.
Arch Surg. 1993 Sep;128(9):964-9; discussion 969-70. doi: 10.1001/archsurg.1993.01420210024003.
To review the senior author's experience with preperitoneal mesh inguinal herniorrhaphy, evaluate the recurrence rate, and compare it with previously published data and with the developing technique of laparoscopic herniorrhaphy.
A retrospective records review of 204 herniorrhaphies, follow-up of patients (mean follow-up, 3.5 years), and review of the literature.
One general surgeon's clinical practice in an 860-bed regional referral hospital.
One hundred sixty-two men and 13 women (mean age, 63 years) who underwent preperitoneal prosthetic herniorrhaphy by the senior author between 1984 and 1991 and whose medical records were available for review (175 [96%] of 183 patients).
Short- and long-term postoperative complications and hernia recurrence.
One hundred fifty-two primary and 52 recurrent inguinal hernias were repaired using a preperitoneal prosthetic approach and either general or regional anesthesia. Wound complications occurred in 12 (5.9%) of 204 operations, and one recurrence (0.5%) was detected over the mean long-term follow-up period of 42 months (range, 7.9 to 110 months). A 25-year recurrence rate of 1% was predicted.
This repair compares favorably with similar, previously reported repairs and is suggested as a standard for comparison with the developing technique of laparoscopic herniorrhaphy.
回顾资深作者腹膜前补片腹股沟疝修补术的经验，评估复发率，并与先前发表的数据以及正在发展的腹腔镜疝修补术进行比较。
对204例疝修补术进行回顾性记录审查，对患者进行随访（平均随访3.5年），并进行文献回顾。
一家拥有860张床位的地区转诊医院中一位普通外科医生的临床实践。
1984年至1991年间由资深作者进行腹膜前人工材料疝修补术且有病历可供审查的162名男性和13名女性（平均年龄63岁）（183例患者中的175例[96%]）。
术后短期和长期并发症以及疝复发情况。
采用腹膜前人工材料修补法并使用全身或区域麻醉修复了152例原发性腹股沟疝和52例复发性腹股沟疝。204例手术中有12例（5.9%）发生伤口并发症，在平均42个月（范围7.9至110个月）的长期随访期内发现1例复发（0.5%）。预计25年复发率为1%。
该修补术与先前报道的类似修补术相比具有优势，建议作为与正在发展的腹腔镜疝修补术进行比较的标准。
