| 篇名 |
Preperitoneal Prosthetic Herniorrhaphy for Recurrent Inguinal Hernia |
| 作者 |
I-Shu Chen, King-Tong Mok, Hong-Tai Chang, Chiuh-lnn Liu, Cheng-Chung Tsai, Nan-Wha Jou, Being-Whey Wang |
| 卷期/出版年月 |
29卷3期 (1996/6) |
| 頁次 |
208-212 |
| 摘要 |
The failur已rate for repair of primary inguinal hernia remains unacceptably high. Repair of recurrent inguinal hernia is an ubiquitous and troublesome problem. The conventional anterior approach has a high recurrence and complication rate. Preperitoneal prosthetic herniorrhaphy can prevent dissection
of the cicartrixed cord, and the inguinal floor can be reinforced with an unabsorbable mesh. During the post 4 years, 152 herniorrhaphies were undertaken in 137 patients at this hospital. Of those 126 (83%) of them were available for follow-up examination. The mean follow-up interval was 26 (8-49) months. Of the 3 (2.4%) recurrences noted, all occurred because of technical error. There was scrotal swelling in 3 (2%) cases, and 3 (2%) cases had hematoma. Those with hematoma had severe adhesions because of previous 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. |
| 關鍵詞 |
recurrent inguinal hernia, preperitoneal, prosthetic |
| 分類 |
Original Article |
