Coda A, Ferri F, Filippa C, Mattio R, Bona A, Tonello P, Benedetto C
Divisione di Chirurgia, Presidio Sanitario Ospedale Gradenigo, Torino.
Minerva Chir. 1997 Mar;52(3):175-80.
The authors report their experience with Rives procedure, a prosthetic repair of groin hernias using preperitoneal sutured mesh by parainguinal access. This operation is not technically easy to perform and is usually done out of necessity in cases with higher risk of recurrence because of systemic factors of chronic abdominal high pressure and/or of local factors of risk, when there are contraindications to operations like Stoppa procedure. Our series report 38 patients operated upon on 5 years, with incidence of 5.8% overall hernias repaired in the same period. 33 are males, 5 females, with average age of 60.5 years. Mean time required for the operation is 94 minutes (range 55'-130'). About postoperative complications we complain of one testicular atrophy, but none infections. Follow-up range is 9-50 months (average 23.2 months) for 30 patients operated more than one year ago. All but one were revisited after almost 12 months. No recurrences were detected.
作者报告了他们使用里夫斯手术的经验，该手术是通过腹股沟旁入路，采用腹膜前缝合补片对腹股沟疝进行假体修复。这项手术在技术上并不容易实施，通常是在因慢性腹内高压的全身因素和/或局部风险因素而复发风险较高的情况下，且存在像斯托帕手术等手术禁忌证时，出于必要才进行。我们的系列报告了5年间接受手术的38例患者，同期修复的所有疝的发生率为5.8%。男性33例，女性5例，平均年龄60.5岁。手术平均所需时间为94分钟（范围55分钟至130分钟）。关于术后并发症，我们有1例睾丸萎缩，但无感染病例。对于1年多前接受手术的30例患者，随访时间为9至50个月（平均23.2个月）。除1例患者外，几乎所有患者在术后近12个月时接受了复查。未发现复发情况。
