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首页> 外文期刊>Surgical Endoscopy >The totally extraperitoneal laparoscopic hernia repair. Preliminary results.
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The totally extraperitoneal laparoscopic hernia repair. Preliminary results.

机译：完全腹膜外腹腔镜疝修补术。初步结果。

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BACKGROUND: The totally extraperitoneal laparoscopic hernia repair has become our procedure of choice to manage inguinal hernia in adult patients since March 1993. This technique was developed in an attempt to diminish postoperative pain, shorten the convalescence period and equal the recurrence figures of the classical tension-free repair. METHODS: A complete extraperitoneal dissection is performed. A large Marlex prosthesis (15 x 15 cm) is placed and covers all potential defects. RESULTS: A consecutive series of 195 hernias in 158 patients is proposed. The minimum follow-up in our series is at least 6 months. Morbidity is low and so far, no recurrences have been seen. CONCLUSIONS: The totally extraperitoneal laparoscopic approach for repairing inguinal hernia should have a promising future, because the same principles as the classical tension-free repair are followed. Preliminary results are promising. Further studies, even randomized prospective trials and fair reports of complications, will determine the future of laparoscopic hernia surgery.
机译：背景：自1993年3月以来，完全腹腔镜腹腔镜疝修补术已成为治疗成人腹股沟疝的首选方法。开发该技术的目的是减轻术后疼痛，缩短康复期并重现经典张力的复发率。免费维修。方法：进行完整的腹膜外解剖。放置一个较大的Marlex假体（15 x 15厘米），并覆盖所有潜在的缺陷。结果：提议在158例患者中连续进行195例疝气。我们系列的最小随访时间至少为6个月。发病率低，到目前为止，未见复发。结论：腹腔镜全腹腔镜手术修复腹股沟疝应有广阔的前景，因为遵循与经典无张力修复相同的原则。初步结果令人鼓舞。进一步的研究，甚至是随机的前瞻性试验和并发症的公正报道，将决定腹腔镜疝气手术的未来。

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