Horeyseck G
Allgemeinchirurgische Klinik, Krankenhaus Siegburg GmbH.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:86-90.
Within the range of treatment of inguinal hernias, the paper concentrates on the following procedures: Shouldice, the "tension-free" repairs of Lichtenstein, Rutkow, TIPP, and the laparoscopic procedures TAPP and TEP. An individual, selective approach tailored to the type of hernia, as well as the age and profession of the patient is recommended. A multicenter study comparing these procedures would be useful. Conventional repair of incisional hernias (simple closure, Mayo) has a depressing recurrence rate of 30%-40%. Better results are obtained by using a synthetic prosthesis, which can be implanted using the sublay inlay, or onlay technique.
在腹股沟疝的治疗范围内，本文着重介绍以下手术方法：肖尔代斯修补术、利chtenstein“无张力”修补术、鲁特科夫修补术、TIPP修补术以及腹腔镜手术TAPP和TEP。建议根据疝的类型以及患者的年龄和职业采取个性化、选择性的治疗方法。开展一项比较这些手术方法的多中心研究将很有帮助。传统的切口疝修补术（单纯缝合、梅奥修补法）复发率高达30%-40%，令人沮丧。使用合成假体进行修补效果更好，可采用腹膜前植入、夹层植入或覆盖植入技术。
