COMPLICATIONS OF LAPAROSCOPIC HERNIORRHAPHY

被引：82

作者：

MACFADYEN, BV

ARREGUI, ME

CORBITT, JD

FILIPI, CJ

FITZGIBBONS, RJ

FRANKLIN, ME

MCKERNAN, JB

OLSEN, DO

PHILLIPS, EH

ROSENTHAL, D

SCHULTZ, LS

SEWELL, RW

SMOOT, RT

SPAW, AT

TOY, FK

WADDELL, RL

ZUCKER, KA

机构：

[1] Department of Surgery, The University of Texas Medical School, Houston, 77030, TX, 6431 Fannin

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1993年 / 7卷 / 03期

关键词：

LAPAROSCOPY; HERNIORRHAPHY; PROSTHESIS;

D O I：

10.1007/BF00594097

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Anterior inguinal hernia repair is the second-most-commonly performed abdominal operation and has been associated with low morbidity and mortality rates. The principle of laparoscopy has been applied to this surgical problem in a series of 762 patients with 841 inguinal hernias. Four types of laparoscopic repairs were conducted: (1) high ligation of the indirect inguinal hernia sac and closure of the internal ring (87 patients with 89 hernias); (2) plug and patch of the internal ring (74 patients with 87 hernias); (3) transperitoneal suture repair of the transversalis fascia to the iliopubic tract or Cooper's ligament (28 patients with 30 hernias); and (4) placement of a large prosthesis over the myopectoneal orifice (563 patients with 635 hernias). These early results indicate that the overall complication rates were low, especially when a large prosthesis was used to reinforce the myopectoneal orifice. It is concluded that laparoscopic inguinal herniorrhaphy is a safe and effective procedure with which to manage this surgical problem.

引用

页码：155 / 158

页数：4

共 14 条

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