Stierli P, Pfister J, Aeberhard P
Chirurgische Klinik, Kantonsspital Aarau.
Chirurg. 1993 Apr;64(4):334-7.
44 patients with 47 recurrent inguinal hernias entered a prospective study. All patients were operatively managed by a standardized technique using a polypropylene (Prolene) mesh inserted through a pre-peritoneal approach. Operating in the pre-peritoneal space avoids dissection of the scared cord and the "inlay" prosthetic mesh safely creates a new "fascia transversalis" with a low rate of recurrences. All patients were personally controlled every 6 months with a follow-up time of 12 to 60 months (mean 20.2 months). The low postoperative morbidity included only one seroma, no infection and no testicular complications. We observed one recurrence occurring 6 months after surgery (2%). The described operative technique using an inlay patch is recommended as the therapy of choice in all recurrent groin hernias.
44例患有47处复发性腹股沟疝的患者进入了一项前瞻性研究。所有患者均采用标准化技术进行手术治疗，通过腹膜前入路插入聚丙烯（普理灵）补片。在腹膜前间隙进行手术可避免对精索的解剖，并且“嵌入”的人工补片能安全地形成新的“腹横筋膜”，复发率较低。所有患者每6个月接受专人检查，随访时间为12至60个月（平均20.2个月）。术后低发病率仅包括1例血清肿，无感染及睾丸并发症。我们观察到1例患者在术后6个月出现复发（2%）。所描述的使用嵌入补片的手术技术被推荐为所有复发性腹股沟疝的首选治疗方法。
