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首页> 外文期刊>Surgical Endoscopy >Occult contralateral inguinal hernias: what is their true incidence and should they be repaired?
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Occult contralateral inguinal hernias: what is their true incidence and should they be repaired?

机译：隐匿对侧腹股沟疝：他们的真实发病率是多少，应该修复吗？

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BackgroundThe true incidence of occult contralateral inguinal hernia is unknown; however, when found, there exists controversy as to whether or not they should be repaired. The aim of our study is to identify the incidence of contralateral incidental inguinal hernias in our surgical population, compare our results to previous studies timelining occult hernia identification to repair need, and generate debate as to whether incidental contralateral hernias should be repaired at the index operation.MethodsWe reviewed the charts of 297 consecutive patients undergoing robotic inguinal hernia repair between October 2014 and April 2018at a single facility. By comparing preoperative physical examination to intraoperative findings, we determined the number of occult contralateral inguinal hernias in our patient population.ResultsOf 297 patients, 158 (53.2%) presented with a right inguinal hernia, 90 (30.3%) presented with a left inguinal hernia, and 49 (16.5%) presented with bilateral inguinal hernias. Forty-seven of the 297 patients (15.8%) were found to have an incidental contralateral inguinal hernia. Excluding patients with known bilateral inguinal hernias, 20% of patients with a left inguinal hernia were found to have an occult right inguinal hernia and 18.4% of patients with a right inguinal hernia were found to have an occult left inguinal hernia.ConclusionsThe true incidence of occult contralateral inguinal hernia may be higher than originally thought. When inguinal hernia repair is performed through a transabdominal approach, these occult hernias may be easily addressed during the same operation without additional skin incisions. This may ultimately prevent the morbidity of developing a metachronous hernia that requires repair.
机译：背景神经对侧腹肌疝的真正发病率未知;但是，在找到时，存在争议，以及是否应该修复它们。我们的研究目的是识别我们的手术人群对侧偶然僵局疝的发生率，将我们的结果与先前的研究进行了比较，以便修复需求，并在指数运作中应修复偶然绑定疝气的辩论.methodswe在2014年10月至2018年4月间在2014年10月至2018年4月之间审查了297名患者的连续患者的图表。通过比较术前体检对术中发现，我们确定了我们的患者群体中的神经肾腹腹疝的数量。297例患者，158名（53.2％）呈现出右侧疝，90（30.3％）呈现出左侧腹膜疝，49（16.5％）呈现双侧腹股沟疝。发现297名患者中的四十七名（15.8％）有偶然对侧腹股沟疝。不包括患有已知的双侧腹股沟疝的患者，20％的患者患有左侧腹股沟疝的患者患有神秘的腹肌疝和18.4％的患者被发现有神秘的左腹疝。结论真正的发病率隐匿对侧腹股沟疝可能高于最初的想法。当通过跨境方法进行腹股沟疝修复时，在没有额外的皮肤切口的情况下，可以在相同的操作期间容易地解决这些隐匿性疝气。这可能最终阻止开发需要修复的同等疝气的发病率。

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