Robbins A W, Rutkow I M
Hernia Center, Freehold, New Jersey.
Surg Clin North Am. 1993 Jun;73(3):501-12. doi: 10.1016/s0039-6109(16)46033-0.
The evolution of tension-free hernioplasty techniques; culminating in the mesh-plug repair, is presented. Experience with 1563 cases is described. Recurrences have been virtually eliminated. The factors of no tissue tension and decreased dissection are believed to be the two most important reasons why there is greater patient comfort, rapid rehabilitation, lowered cost, and diminished complications with the mesh-plug technique. The mesh-plug hernioplasty is recommended for the treatment of all groin hernias.
本文介绍了无张力疝修补技术的发展历程，最终以疝环充填式修补术为代表。文中描述了1563例手术的经验。复发率几乎已被消除。无组织张力和减少解剖操作这两个因素被认为是疝环充填式修补术能让患者舒适度更高、康复更快、费用降低且并发症减少的两个最重要原因。推荐采用疝环充填式疝修补术治疗所有腹股沟疝。
