Desarda技术在选择性腹股沟疝修补术中的长期效果。十年多中心经验

Mohamed A. Shaban, Hisham E. Elareaf, Amr G. Mohamed
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引用次数: 0

摘要

背景:腹股沟疝修补术是普外科最常见的手术之一,也是普外科的支柱手术。研究目的本研究旨在报告我们使用 Desarda 技术无张力修补腹股沟疝的经验。患者和方法:在 216 例使用 Desarda 技术修复的 1ry 腹股沟疝患者中,有 179 例完成了至少五年的随访并接受了分析。本次回顾性分析在 2013 年 12 月至 2023 年 12 月期间进行。复发、慢性疼痛、腹壁僵硬是主要的随访指标。结果纳入患者的平均年龄为(44.76 ± 7.88)岁。随访 1 个月后,睾丸水肿、血肿、血清肿和手术部位感染的发生率与 1 周前相比有明显下降(P < 0.001)。随着时间的推移,感觉缺失、腹壁僵硬和 FB 感觉的发生率明显下降。随访 5 年后,复发率为 1.7%。结论Desarda 技术是治疗腹股沟疝修补术的一种简便、有效、可靠的方法,长期疗效良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Long-Term Outcome of Desarda Technique in Elective Inguinal Hernia Repair. A 10 Year Multicenter Experience
Background: One of the most often performed operations and a pillar of a general surgery practice is inguinal hernia repair. Objective: The study aimed to report our experience in tension-free repair of inguinal hernia using Desarda technique. Patients and methods: 179 out of 216 patients with 1ry inguinal hernia repaired with Desarda and who completed at least five years of follow-up and underwent analysis were included. The current retrospective analysis was conducted between December 2013 and December 2023 . Recurrence, chronic pain, abdominal wall stiffness was the main follow up corners. Results: The mean age of the included patients was 44.76 ± 7.88 years. There was a statistically significant decrease in the testicular edema, hematoma, seroma, and surgical site infection after 1-month follow-up when compared to the incidence by the 1 st week (P < 0.001). There was a statistically significant decrease in the incidence of loss of sensation, abdominal wall stiffness and FB sensation by time. The recurrence rate was 1.7% after 5 years follow. Conclusion: Desarda technique is an easy, effective and reliable method in treatment of inguinal hernia repair with favorable long-term outcome.
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