Civello I M, Frontera D, Pittiruti M, Casale S, Zappalà S, Battista Doglietto G, Zucchetti F, Crucitti F
Dept. of Surgery, Catholic University, Rome, Italy.
Ann Ital Chir. 1997 May-Jun;68(3):343-5; discussion 345-6.
The authors report their experience with 463 tension free hernioplasty procedures for inguinal and femoral hernias. The surgical technique included the insertion of both a polypropylene plug and a polypropylene mesh, and was carried out mostly in local anesthesia (84.2%) using bupivacaine 0.25% for ileoinguinal and ileohypogastric blockage and mepivacaine 0.5% for local infiltration. There was no major intraoperative complication; local postoperative complications were rare (10%) and easily managed; postoperative pain was frequently observed (66%), though mild and transient; resumption of working activity occurred within a month in 96.6% of cases; there were only 3 post-operative recurrences (respectively, at 1, 6 and 12 months). The authors conclude that the tension free hernioplasty is a simple, rapid, low-cost and effective technique, easily performed under local anesthesia.
作者报告了他们对463例腹股沟疝和股疝进行无张力疝修补术的经验。手术技术包括插入聚丙烯补片和聚丙烯网片，大多在局部麻醉（84.2%）下进行，使用0.25%布比卡因进行髂腹股沟和髂腹下神经阻滞，0.5%甲哌卡因进行局部浸润。术中无重大并发症；术后局部并发症罕见（10%）且易于处理；术后疼痛常见（66%），但轻微且短暂；96.6%的病例在一个月内恢复工作；术后仅3例复发（分别在1、6和12个月）。作者得出结论，无张力疝修补术是一种简单、快速、低成本且有效的技术，易于在局部麻醉下实施。
