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頁籤選單縮合
題 名 | Preperitoneal Prosthetic Herniorrhaphy for Recurrent Inguinal Hernia=腹膜前人工網膜修補復發性腹股溝疝氣 |
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作 者 | 陳以書; 莫景棠; 張宏泰; 劉絮穎; 蔡正中; 周楠華; 王炳惠; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 29:3 民85.05-06 |
頁 次 | 頁208-212 |
分類號 | 416.2423 |
關鍵詞 | 腹膜前人工網膜; 腹股溝疝氣; Recurrent inguinal hernia; Preperitioneal; Prosthetic; |
語 文 | 英文(English) |
中文摘要 | 對於腹股溝疵氣的修補。一直有偏高的復發率。尤其復發性腹股溝疵氣 的修補,更是普遍存在的棘手問題。傳統由腹橫肌膜前面去剝離疵氣囊並予以修 補的方法,它的復發率和併發症高。如果我們由腹膜前面去剝離疵氣囊並以人工 網膜修補加強腹壁。不但可避開結麻組織,因而減少併發症的發生,另外因為人 工網膜的強度及不可吸收性.更可大大降低其復發率。 我們收集了過去四年我們醫院的I37個接受腹膜前人工網膜修補術的病人,加以 討論分析。 我們總共追蹤了114(83)個病人,有126次(83)手術,平均追蹤期間是26個月。其中 3例(2.4)復發,探究其原因都是技術性過失引起。另有3例(2)發生陰囊腫脹。3例 (2)發生血腫,都是先接受了Shouldice疝氣修補術。因此我們希望盡量採行不破壞 腹膜前空間的手術方式來修補第一次發生的腹股溝疝氣。 腹膜前人工網膜修補復發性腹股溝疝氣應是不錯的選擇,但必須有更多的訓練和 經驗才能有好的結果。 |
英文摘要 | The failure rate for repair of primary inguinal hernia remains unacceptablyhigh. Repair of recurrent inguinal hernia is an ubiquitous and troublesomeproblem. The conventional anterior approach has a high recurrence andcomplication rate. Preperitoneal prosthetic herniorrhaphy can prevent dissection of the cicartrixed cord, and the inguinal floor can be reinforcedwith an unabsorbable mesh. During the post 4 years, 152 herniorrhaphieswere undertaken in 137 patients at this hospital. Of those 126 (83) of themwere available for follow-up examination. The mean follow-up interval was26 (8-49) months. Of the 3 (2.4) recurrences noted, all occurred because oftechnical error. There was scrotal swelling in 3 (2) cases, and 3 (2) caseshad hematoma. Those with hematoma had severe adhesions because ofprevious operation. No infection occurred in this series. Preperitoneal prosthetic herniorrhaphy should be a good choice for recurrent inguinal hernia,but more training and much experience are needed for total success. |
本系統中英文摘要資訊取自各篇刊載內容。