Naraynsingh V, Ariyanayagam D
Department of Surgery, University of the West Indies, General Hospital, Port of Spain, Trinidad.
Br J Surg. 1993 May;80(5):614-5. doi: 10.1002/bjs.1800800523.
Recurrence-free repair of midline ventral abdominal wall hernia continues to elude surgeons, despite the abundance of described techniques. Based on the observation that spontaneous herniation through the rectus abdominis muscles is unknown, a new technique of repair was devised. The rectus muscles and their sheaths on either side of the hernial defect are directly brought together to obliterate the hernia, the intervening linea alba and intact hernia sac being 'keeled' into the abdominal cavity. Using this technique, 85 consecutive midline abdominal hernias were repaired over an 11-year period. Follow-up was from 18 months to 12 years; there was one recurrence. The rectus repair is recommended as an effective method of dealing with ventral midline abdominal wall hernia.
尽管已有大量描述的技术，但腹中线腹壁疝的无复发性修复仍然困扰着外科医生。基于腹直肌自发疝出情况未知这一观察结果，设计了一种新的修复技术。将疝缺损两侧的腹直肌及其鞘膜直接拉拢在一起以消除疝，其间的白线和完整的疝囊被“压入”腹腔。使用该技术，在11年期间连续修复了85例腹中线疝。随访时间为18个月至12年；有1例复发。腹直肌修复术被推荐为处理腹中线腹壁疝的有效方法。
