如何做好复发疝的相关问题

Related issues about how to do better in recurrent hernia

疝复发仍然是疝手术并发症中的主要问题。复发疝手术的特点是局部解剖结构已有明显改变。手术仍应该和原发疝一样争取缺损和薄弱区域的全面修复,条件限制者可仅作缺损修补。无张力疝修补时代,补片疝修补术是各类组织修补和补片修补后复发疝的首选术式,手术时机的掌握出现了稍许变化。各种开放手术和腔镜手术各有利弊,没有绝对的最佳术式,个体化方案对于复发性腹股沟疝的治疗尤为重要,手术医生的擅长和应变能力亦尤为关键,术者经验是复发疝手术最需要考虑的。

Recurrence is still the main problem in the complications of hernia surgery. The character of recurrent hernia surgery is that the local anatomical structure has been significantly changed. Same as the primary hernia surgery, operation is still to repair the defect and weak areas overall. As conditions is limited, it can be used only to repair the hernia defect. In tension-free hernia repair Era, mesh repair is the preferred surgery for all kinds of recurrent hernia after tissue hernia re- pair or mesh hernia repair. The operation timing appeared little charlge： All kinds of open surgery and laparoscopic surgery have advantages and disadvantages, there is no best surgical operation. Ifidividualized strategy for recurrent inguinal hernia surgery is particularly important. Ability of special skill and corresponding change of surgeon is the key. The experience of surgeon is the most need to consider in recurrent hernia surgery.