Zieren J, Zieren H U, Jacobi C A, Müller J M
Klinik und Poliklinik für Chirurgie der Charité, Humboldt-Universität zu Berlin.
Zentralbl Chir. 1997;122(7):545-50.
The basic principles of the Plug and Patch Repair of inguinal hernia are positioning of a prolene plug behind the internal ring in combination with a prolene onlay patch on the fascia transversalis. From July 1994 until December 1996 243 inguinal hernias were operated in this technique in a consecutive series of 221 patients. There were 211 primary and 32 recurrent hernias. 187 operations were performed in local anesthesia and 34 patients wished general anesthesia. No intraoperative complications were noted. The average operation time was 36 +/- 14 minutes. Postoperative complications were 8 subcutaneous hematomas and 1 superficial wound infection, which healed spontaneously. The average stay in hospital was 2 +/- 2 days and the patients returned to work after 17 +/- 11 days. Patients' self assessment of postoperative pain and limitations of daily activities revealed an excellent comfort. The follow-up rate is 97% and no late complications were observed after a median follow-up time of 21 months. The Plug and Patch technique is a very promising procedure for inguinal hernia repair in adults.
腹股沟疝补片修补术的基本原则是将普理灵补片置于内环后方，并在腹横筋膜上放置普理灵覆盖补片。从1994年7月至1996年12月，连续221例患者采用该技术进行了243例腹股沟疝手术。其中有211例原发性疝和32例复发性疝。187例手术采用局部麻醉，34例患者希望采用全身麻醉。术中未发现并发症。平均手术时间为36±14分钟。术后并发症包括8例皮下血肿和1例浅表伤口感染，均自行愈合。平均住院时间为2±2天，患者在17±11天后恢复工作。患者对术后疼痛和日常活动受限的自我评估显示舒适度极佳。随访率为97%，中位随访时间21个月后未观察到晚期并发症。补片修补技术是一种非常有前景的成人腹股沟疝修补方法。
