作者： Arnaldo F. Trabucco , Ermanno E. Trabucco
DOI:
关键词: Reduction (orthopedic surgery) 、 Deep inguinal ring 、 Hernia 、 Inguinal hernia 、 Suture (anatomy) 、 Surgery 、 Materials science 、 Tension (physics) 、 Prosthesis
摘要: Over the years, various surgical techniques, with or without prosthesis, have been utilized in inguinal hernia repairs. After Lichtenstein introduced concept of a tension-free repair 1986 (2), this became procedure choice. We began using sutureless preshaped mesh 1989. From 1989 to 1997, all primary hernioplasties at Trabucco Hernia Institute, which there were 3,422, performed technique (7). A alone conjunction threedimensional plug was used. The formed by folding circular into shape dart. This then inserted deep ring indirect hernias after reduction sac. 1997 1999, 275 herniorrhaphies performed. During period, use three-dimensional abandoned. Flat sheaths mesh, slit accommodate cord structures, implanted (8), suture narrowing small used instead. onlay routinely both groups patients. principles hernioplasty are based on following observations: