Alexandre J H, Bouillot J L
Department of General Surgery, Université Paris 6, Hospital Broussais, France.
Eur J Surg. 1996 Jan;162(1):29-33; discussion 35-6.
In this report we describe our technique for repair of recurrent inguinal hernia, using a large sheet of Mersilene mesh placed by the inguinal route. After division of the epigastric vessels, the inguinal canal is opened widely. A large sheet of Dacron mesh is inserted and the muscles are closed without tension by the McVay technique. We have repaired 142 recurrent hernias by this method. One patient died (0.7%) and morbidity included hole in the bladder (n = 3), wound discharge-(n = 2), wound haematoma (n = 5), cardiac arrhythmia (n = 1), and urinary retention (n = 2). The mesh had to be removed in two cases. No further recurrences were observed. This technique, thanks the placement of a large "tension free" sheet of mesh, ensures solid, definitive repair and is recommended for initial treatment of recurrent inguinal hernia.
在本报告中，我们描述了使用一大片通过腹股沟途径放置的Mersilene网片修复复发性腹股沟疝的技术。在切断腹壁上血管后，广泛打开腹股沟管。插入一大片涤纶网片，并采用麦克维技术无张力地关闭肌肉。我们用这种方法修复了142例复发性疝。1例患者死亡（0.7%），并发症包括膀胱穿孔（n = 3）、伤口渗液（n = 2）、伤口血肿（n = 5）、心律失常（n = 1）和尿潴留（n = 2）。有2例不得不取出网片。未观察到进一步复发。由于放置了一大片“无张力”网片，该技术确保了牢固、确定性的修复，推荐用于复发性腹股沟疝的初始治疗。
