Dissing C K, Christensen M M
Silkeborg Centralsygehus, parenkymkirurgisk afdeling.
Ugeskr Laeger. 1996 Dec 2;158(49):7061-3.
This study represents 202 consecutive cases of inguinal- or femoral hernias treated at the Department of Surgery, Silkeborg Central Hospital, Denmark. All were operated with the tension-free mesh-plug technique as described by Rutkow & Robbins (4). The median duration of the operation for the primary hernias was 35 (30-45) minutes, (median(25-75 percentile)), and 45 (30-60) minutes for the recurrent hernias. The operation was performed as a day-in procedure in 62% of the patients, whereas 35% stayed in the ward overnight. All daily activities, including strenuous exercises, were resumed within seven (2-14) days. Seven patients developed haematomas, none of which required treatment. One case of superficial infection required opening of the wound. Three recurrences have been reoperated, all using the mesh-plug technique and all with good results, while another three recurrences are suspected in patients with no or few complaints. It is concluded that inguinal- and femoral mesh-plug hernioplasty is a safe, efficient and low-cost procedure.
本研究涵盖了丹麦锡尔克堡中心医院外科治疗的202例连续腹股沟疝或股疝病例。所有病例均采用Rutkow和Robbins（4）所描述的无张力网塞技术进行手术。原发性疝手术的中位时长为35（30 - 45）分钟（中位数（第25 - 75百分位数）），复发性疝手术的中位时长为45（30 - 60）分钟。62%的患者手术作为日间手术进行，而35%的患者在病房过夜。所有日常活动，包括剧烈运动，均在七（2 - 14）天内恢复。7例患者出现血肿，均无需治疗。1例浅表感染需要打开伤口。3例复发患者再次接受手术，均采用网塞技术，且效果良好，另有3例复发患者在无或仅有轻微症状的情况下被怀疑复发。研究得出结论，腹股沟和股部网塞疝修补术是一种安全、高效且低成本的手术。
