Morrison J A
Department of Surgery, James Paton Memorial Hospital, Gander, Nfld.
Can J Surg. 1993 Aug;36(4):326-8.
Between September 1991 and April 1992, 30 patients were admitted for repair of an inguinal hernia. Four elderly patients were excluded because of other medical conditions. Of the remaining 26 patients laparoscopic hernia repair was carried out successfully in 24; the procedure was abandoned in 2 because of dense adhesions in the pelvis from inflammatory disease. Nineteen of the 24 patients were discharged within 24 hours of operation; the other 5 were treated as outpatients. All patients returned to their normal employment within 7 days of operation. There were no wound infections and no evidence of recurrence at follow-up of up to 10 months. The authors believe that laparoscopic repair may usher in a new era of hernia management.
1991年9月至1992年4月期间，30例患者因腹股沟疝修补入院。4例老年患者因其他疾病被排除。其余26例患者中，24例成功进行了腹腔镜疝修补术；2例因盆腔炎症性疾病导致致密粘连而放弃手术。24例患者中有19例在术后24小时内出院；另外5例作为门诊患者治疗。所有患者在术后7天内恢复正常工作。随访长达10个月，无伤口感染，也无复发迹象。作者认为，腹腔镜修补术可能开创疝治疗的新时代。
