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首页> 外文期刊>Surgical Endoscopy >Routine contralateral exploration is advisable during extraperitoneal hernioplasty for left inguinal hernia.
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Routine contralateral exploration is advisable during extraperitoneal hernioplasty for left inguinal hernia.

机译：对于腹股沟疝，建议在腹膜外疝气成形术中常规进行对侧探查。

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Controversy still exists as to whether the contralateral groin should be routinely explored during totally extraperitoneal hernioplasty for a clinically unilateral hernia. Bochkarev and colleagues are to be commended for their diligent study, which showed an overall 22% occurrence of occult contralateral hernia among 100 consecutive patients with a diagnosis of pure unilateral inguinal hernia before surgery . They conclude, rather categorically, as in all previous studies of the same disorder, that routine bilateral groin exploration "appears" to be valuable. Interestingly, when we look at their raw data from a slightly differently perspective, two important messages emerge.First, in contradistinction to most previous studies, the current study is particularly revealing in that it specifically mentioned the side of hernia presentation in relation to the exploratory findings. Table 1 of the original paper correlates the number of occult defects with the respective side of the primary hernia at clinical examination. Unfortunately, there is an unintentional mix-up in the numbers of occult defects for the respective left and right hernia groups. The table is herein amended and further simplified/modifiedto make the points we raise more easily recognizable (Table 1). It shows that as many as 19 (37%) of 52 patients with clinically unilateral left inguinal hernia have an occult right hernia at exploration, whereas only 3 (6% or1/16) of 48 patients with right hernia have an occult left hernia at exploration.
机译：关于临床上单侧疝的完全腹膜外疝修补术中是否应常规探查对侧腹股沟仍存在争议。 Bochkarev及其同事的勤奋研究受到赞扬，该研究表明，在手术前被诊断为单纯性单侧腹股沟疝的100例连续患者中，隐匿性对侧疝的发生率为22％。他们断然断定，就像以前对同一疾病的所有研究一样，常规的双侧腹股沟探查“似乎”很有价值。有趣的是，当我们从略有不同的角度看待它们的原始数据时，出现了两个重要的信息：首先，与以往的大多数研究相反，本研究尤其具有启发性，因为它特别提到了与探索性有关的疝气表现的一面。发现。原始论文的表1在临床检查中将隐匿性缺陷的数量与原发性疝的两侧相关。不幸的是，各个左疝和右疝组的隐匿性缺陷数量无意间混杂在一起。该表在此进行了修改，并进一步进行了简化/修改，以使我们提出的观点更易于辨认（表1）。结果显示，在52例临床上单侧左腹股沟疝患者中，多达19例（37％）在探查时隐匿性右疝，而在48例右疝患者中仅有3例（6％或1/16）在隐匿性疝中探查。勘探。

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