Weber A, Garteiz D, Cueto J
Department of Surgery of the American British Cowdray Hospital in Mexico City, Mexico.
Surg Laparosc Endosc. 1999 Jan;9(1):14-6.
With the laparoscopic approach, bilateral and complex groin defects can be corrected simultaneously by applying a preperitoneal mesh that covers the entire posterior wall of the groin, using a technique similar to the one described by Stoppa. We present our series of hernias repaired by the transabdominal preperitoneal laparoscopic approach with the Stoppa-type technique. The report consists of 78 cases of bilateral defects, of which 60% were indirect bilateral hernias, 23% direct bilateral, and 17% combined defects; 28.5% were recurrent hernias. Only minor complications were observed (hematomas and urinary retention) in some patients, but all resolved spontaneously. Three recurrences (0.7%) have been seen to this date. This method is recommended as the method of choice for complex groin defects.
采用腹腔镜手术方法，通过应用覆盖腹股沟整个后壁的腹膜前补片，可同时矫正双侧及复杂的腹股沟缺损，所使用的技术类似于Stoppa所描述的技术。我们展示了采用经腹腹膜前腹腔镜手术方法及Stoppa技术修复的一系列疝病例。该报告包括78例双侧缺损病例，其中60%为双侧间接疝，23%为双侧直疝，17%为复合缺损；28.5%为复发性疝。仅在部分患者中观察到轻微并发症（血肿和尿潴留），但均自行缓解。迄今为止共出现3例复发（0.7%）。该方法推荐作为复杂腹股沟缺损的首选方法。
