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首页> 外文期刊>Surgical Endoscopy >Ten golden rules for a safe MIS inguinal hernia repair using a new anatomical concept as a guide
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Ten golden rules for a safe MIS inguinal hernia repair using a new anatomical concept as a guide

机译：使用新的解剖学概念作为指导的安全错误疝疝修复的十个金色规则

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Background Although laparoscopic inguinal hernia repair was described about 30 years ago and advantages of the technique have been demonstrated, the utilization of this approach has not been what we would expect. Some reasons may be the need for surgeons to understand the posterior anatomy of the groin from a new vantage point, as well as to acquire advanced laparoscopic skills. Recently, however, the introduction of a robotic approach has dramatically increased the adoption of minimally invasive techniques for inguinal hernia repair. Methods Important recent contributions to this evolution have been the establishment of a new concept known as the critical view of the Myopectineal Orifice (MPO) and the description of a new way of understanding the posterior view of the antomy of the groin (inverted Y and the five triangles). In this paper, we describe 10 rules for a safe MIS inguinal hernia repair (TAPP, TEP, ETEP, RTAPP) that combines these two new concepts in a unique way. Conclusions As the critical view of safety has made laparoscopic cholecystectomy safer, we feel that following our ten rules based on understanding the anatomy of the posterior groin as defined by zones and essential triangles and the technical steps to achieve the critical view of the MPO will foster the goal of safe MIS hernia repair, no matter which minimally invasive technique is employed.
机译：背景技术虽然大约30年前描述了腹腔镜腹股沟疝修复，但已经证明了该技术的优势，但这种方法的利用并不是我们所期望的。有些原因可能是外科医生从新的有利点理解腹股沟的后部解剖，以及获得先进的腹腔镜技能。然而，最近，引入机器人方法已经大大增加了采用微创疝修复的侵入性技巧。方法对这一进化的重要贡献一直是建立一种称为近视孔口（MPO）的临界视图的新概念，以及理解腹股沟反矩形的后视图的新方式（倒置Y和五个三角形）。在本文中，我们描述了10个安全Mis Incuinal Hernia修复的规则（TAPP，TEP，ETEP，RTAPP），以独特的方式结合了这两个新概念。结论，随着安全性的批判性观点使腹腔镜胆囊切除术更安全，我们觉得在我们的十条规则之后，基于理解区域所定义的后腹腹部的解剖和基本三角形的解剖和实现MPO的临界视图的技术步骤将培养无论采用哪种微创技术，安全MIS Hernia修复的目标。

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