Fournier J Y, Richon C A
Chirurgie G1, Hôpital régional de Sion.
Helv Chir Acta. 1993 Jun;59(5-6):775-8.
We present a review of 25 patients operated of inguinal myorrhaphy for "pubalgy". Between 1987 and 1991 25 patients have been operated following the principle of Nesovic. All have had previously a conservative management, consisting of physiotherapy. 23 patients are very satisfied or satisfied of their operation. 2 patients are not satisfied, the pain being the same after the operation. None has been worsen. Recalling the dismembering of the pubalgy by B. Brunet, we think that the operation of Nesovic must be reserved for the cases presenting an abdominal wall pathology. The intervention consists of an inguinal myorrhaphy and is similar to the cure of inguinal hernia by Bassini. It must be bilateral to equilibrate the tensions on the pubic symphysis. The patient must observe a sportive rest of at least 6 weeks and the competition is not taken up again before 8 weeks. The innocuity of the intervention allow it to be proposed as management of choice for cases correctly selected.
我们对25例因“耻骨痛”接受腹股沟肌修补术的患者进行了回顾。1987年至1991年间，25例患者按照内索维奇的原则接受了手术。所有患者此前均接受过包括物理治疗在内的保守治疗。23例患者对手术非常满意或满意。2例患者不满意，术后疼痛依旧。无一例病情恶化。回顾布鲁内对耻骨痛的分类，我们认为内索维奇手术必须仅用于存在腹壁病变的病例。该手术包括腹股沟肌修补术，类似于巴西尼法治疗腹股沟疝。必须双侧进行以平衡耻骨联合处的张力。患者必须至少进行6周的运动性休息，8周内不得再次参加比赛。该手术的安全性使其可作为正确选择病例的首选治疗方法。
