Rulli F, Percudani M, Muzi M, Tucci G, Sianesi M
Department of Surgery, University Tor Vergata, Rome.
G Chir. 1998 Jun-Jul;19(6-7):285-9.
The short and long-term results of traditional and tension-free inguinal hernia repairs have been assessed in three surgical units. In order to standardise the results, hernias were classified according with Nyhus. There were 109 type I, 311 type II, 854 type III, and 125 type IV hernias. Follow-up was possible in 1201 patients (1249 hernia repairs). Postoperative course, postoperative pain, and recurrences were analysed. Recurrences ranged from 0.7% up to 9.3%. The tension-free methods of repair provided the most important advantages in term of low recurrence rate and early return to work even if, in our series, recurrences resulted mainly related to the type of hernia than to the type of repair. The Authors conclude that any hernia repair should be sized to the type of hernia defect in order to avoid over-treatment and abusive placing of a foreign body such as polypropylene mesh.
三个外科单位对传统腹股沟疝修补术和无张力腹股沟疝修补术的短期和长期结果进行了评估。为了使结果标准化，根据Nyhus对疝进行分类。有109例I型、311例II型、854例III型和125例IV型疝。1201例患者（1249例疝修补术）可进行随访。分析了术后病程、术后疼痛和复发情况。复发率在0.7%至9.3%之间。无张力修补方法在低复发率和早期恢复工作方面具有最重要的优势，即使在我们的系列研究中，复发主要与疝的类型有关，而非与修补类型有关。作者得出结论，任何疝修补术都应根据疝缺损的类型进行调整，以避免过度治疗和滥用异物（如聚丙烯网片）。
