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Laparoscopic repair of recurrent inguinal hernias after endoscopic herniorrhaphy.

机译:腹腔镜修复内窥镜疝气后复发性腹股沟疝。

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BACKGROUND: Although the recurrence rate for endoscopic herniography is low (0-3%), it is still debatable whether these recurrences should be corrected laparoscopically or by the conventional method. The aim of this study was to investigate whether these recurrences can be repaired by means of the laparoscopic approach with acceptable complication and recurrence rates. METHODS: From October 1992 to December 1997, 34 patients with recurrent inguinal hernias at physical examination underwent surgery at our institutions. All the recurrences occurred following endoscopic inguinal hernia repair with mesh prostheses. The recurrences were repaired endoscopically using a transabdominal approach. Depending on the size of the defect, a new polypropylene mesh was used. RESULTS: Mean surgery time was 69 min. There were no conversions to the anterior approach. After a mean follow-up of 35 months, no recurrences had been diagnosed. CONCLUSION: The transabdominal preperitoneal approach is a reliable technique for recurrent inguinal hernia repair after previous endoscopic herniorrhaphy.
机译:背景:尽管内镜疝气的复发率较低(0-3%),但这些复发是否应通过腹腔镜或常规方法进行矫治尚有争议。这项研究的目的是调查是否可以通过腹腔镜方法修复这些复发,并具有可接受的并发症和复发率。方法:从1992年10月至1997年12月,在我们的机构中​​对34例经检查的复发性腹股沟疝患者进行了手术。所有复发均发生在网状假体内窥镜腹股沟疝修补术后。内镜下经腹手术修复复发。根据缺陷的大小,使用了新的聚丙烯网。结果:平均手术时间为69分钟。没有转换为前路入路。平均随访35个月后,未诊断出复发。结论:经腹膜前腹膜入路是行内镜疝气修补术后复发性腹股沟疝修补术的可靠技术。

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