Munshi I A, Wantz G E
Department of Surgery, New York Hospital, Cornell Medical Center, New York City, USA.
Chirurgie. 1996;121(5):321-4; discussion 324-5.
Giant prosthetic reinforcement of the visceral sac (GPRVS) is the descriptive name of a preperitoneal groin hernioplasty with a large piece of Mersilene. The repair focuses on retaining the peritoneum rather than repairing the parietal defect and is efficient, anatomic, sutureless, and tension-free. Herein, is a discussion of its use to manage recurrent and perivascular femoral hernias and a description of a new technique of unilateral GPRVS done through an infrainguinal approach. The data presented reveal no recurrences in 69 problem femoral hernias of which 13 were primary, 50 recurrent and 6 perivascular.
巨大内脏囊假体加强术（GPRVS）是一种使用大片Mersilene材料进行的腹膜前腹股沟疝修补术的描述性名称。该修复术侧重于保留腹膜而非修复腹壁缺损，具有高效、符合解剖结构、无需缝合且无张力的特点。本文讨论了其在处理复发性和血管周围股疝中的应用，并描述了一种通过腹股沟下途径进行单侧GPRVS的新技术。所呈现的数据显示，69例股疝问题中无复发情况，其中13例为原发性，50例为复发性，6例为血管周围性。
