使用双网片技术对复发性腹股沟疝进行腹腔镜再次修补术。
Laparoscopic re-do repairs of recurrent inguinal hernias using double-mesh technique.
作者信息
Jones M W
出版信息
JSLS. 1998 Apr-Jun;2(2):175-6.
Abstract
Described is a "double mesh" technique for performing laparoscopic re-do repairs of inguinal hernias. When doing this procedure, it is virtually impossible to take down the peritoneum due to incorporation of the old mesh. This technique is therefore done by using a simple onlay of polypropylene mesh, covering the hernia defect and ensuring that sufficient staples are placed into the iliopubic tract. Proper recognition of neuroanatomy is essential. In order to prevent intestinal adhesions, a second patch of gortex is secured to the polypropylene.
摘要
描述了一种用于腹腔镜腹股沟疝再次修补的“双层网片”技术。进行此手术时，由于旧网片的包裹，几乎不可能分离腹膜。因此，该技术通过简单地放置聚丙烯网片覆盖疝缺损并确保在髂耻束上放置足够数量的吻合钉来完成。正确识别神经解剖结构至关重要。为防止肠粘连，将第二片戈尔特斯补片固定在聚丙烯上。
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