Oishi A J, Gardiner B N, Furumoto N, Machi J, Oishi R H
University of Hawaii, John A. Burns School of Medicine, Department of Surgery, Honolulu, Hawaii, USA.
Hawaii Med J. 1998 Nov;57(11):700-3.
The surgical treatment of the common inguinal hernia has been one of the most analyzed and debated topics in medicine. Recently, with the success of laparoscopic cholecystectomy, interest in minimally invasive surgical techniques has led to it's application for inguinal hernia repair. Current laparoscopic herniorrhaphies are based on the principles of conventional open preperitoneal repairs and are classified into two types: 1) transabdominal preperitoneal repair (TAPP) and 2) totally extraperitoneal repair (TEP). Common advantages to both techniques include a decrease in postoperative pain, earlier return to normal activity, and improved cosmesis. Both laparoscopic techniques have the disadvantage of requiring general or regional anesthesia and increased procedural costs. Lastly, there is a concern that laparoscopic hernia repair has not been around long enough to know the risk of late recurrences. Laparoscopic herniorrhaphy, however, is a viable alternative to standard open inguinal hernia repair.
腹股沟疝的外科治疗一直是医学领域中分析和讨论最多的话题之一。近年来，随着腹腔镜胆囊切除术的成功，对微创外科技术的兴趣促使其应用于腹股沟疝修补术。目前的腹腔镜疝修补术基于传统开放腹膜前修补的原则，分为两种类型：1）经腹腹膜前修补术（TAPP）和2）完全腹膜外修补术（TEP）。这两种技术的共同优点包括术后疼痛减轻、更早恢复正常活动以及美容效果改善。两种腹腔镜技术都有需要全身或区域麻醉以及手术成本增加的缺点。最后，有人担心腹腔镜疝修补术应用时间不够长，尚不清楚远期复发的风险。然而，腹腔镜疝修补术是标准开放腹股沟疝修补术的一种可行替代方法。
