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Complex inguinal hernia repairs

机译:复杂腹股沟疝气修复

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摘要

Complex inguinal hernia treatment is a challenge for general surgeons. The gold standard for the repair of inguinal hernias is the Lichtenstein repair (anterior approach). However, when multiple recurrent hernias or giant hernias are present, it is necessary to choose different approaches because the incidence of poor results increases. There are many preperitoneal approaches described in the literature. For example: (a) open procedure—Nyhus and Stoppa (b) laparoscopic technique—transabdominal pre-peritoneal (TAPP) and totally extraperitoneal (TEP). In this study, we show how we repair complicated cases using open access in huge unilateral or bilateral, recurrent, or multiple recurrent inguinal hernias.
机译:腹股沟疝的复杂治疗对普通外科医师来说是一个挑战。腹股沟疝修补术的金标准是利希滕斯坦修补术(前路入路)。但是,当存在多发性疝或大疝时,由于不良结果的发生率会增加,因此有必要选择其他方法。文献中描述了许多腹膜前方法。例如:(a)开放手术-Nyhus和Stoppa(b)腹腔镜技术-腹膜前腹膜(TAPP)和完全腹膜外(TEP)。在这项研究中,我们展示了如何在巨大的单侧或双侧,复发性或多发性复发性腹股沟疝中使用开放式通路修复复杂的病例。

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