Kunz R, Schütze F, Beger H G
Abteilung für Allgemeine Chirurgie, Universität Ulm.
Chirurg. 1993 Apr;64(4):341-5.
A basic principle of inguinal herniorrhaphy is the reconstruction of the transverse fascia. This laparoscopic technique described, consists in an augmentation of the transverse fascia by nonabsorbable mesh in pre-peritoneal position. Some aspects should be recommended for laparoscopic herniorrhaphy: The anatomic structures must be dissected exactly. The prosthetic mesh should be fixed to the fascia by multiple staples. With indirect inguinal hernias the mesh should encircle the spermatic cord.
腹股沟疝修补术的一个基本原则是重建腹横筋膜。本文所述的这种腹腔镜技术,是在腹膜前位用不可吸收网片增强腹横筋膜。腹腔镜疝修补术有几个方面值得推荐:必须精确解剖解剖结构。应使用多个吻合钉将补片固定在筋膜上。对于间接性腹股沟疝,补片应环绕精索。