开腹腹股沟疝气后复发的原因。,Hernia

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开腹腹股沟疝气后复发的原因。
Hernia ( IF 2.6 ) Pub Date : 2018-12-05 , DOI: 10.1007/s10029-018-1868-z
D Ashrafi _{1,

2} , M Siddaiah-Subramanya _{1,

3} , B Memon ₄ , M A Memon _{1,

4,

5,

6,

7}

Affiliation

目的成功的腹股沟腹股沟疝修补术最重要的措施之一是复发的发生率。报告表明，无论采用何种方法，全世界多达13％的腹股沟疝修补术均得以修复。腹股沟疝复发的原因很可能是多因素的。本文的目的是评估开放式缝合和网片技术中导致这些复发的危险因素。方法对1990年至2018年发表的开放式腹股沟疝气后复发原因的Medline，Embase，科学引文索引，当前目录和PubMed数据库进行检索，确定英语，经同行评审的文章。“开放方法”；“缝合修复”；“网格修复”，“复发”，“ 原因”，“人类”。结果文献揭示了一些可改变和不可改变的危险因素，这些危险因素导致开放缝合和网状腹股沟腹股沟疝术后复发。这些包括围手术期，患者和疝气因素。结论尽管腹腔镜技术的出现，腹股沟开腹腹股沟疝仍是最常见的外科手术之一。开放性腹股沟疝修补术可以将复发的危险因素大致分为围手术期，患者和疝气因素。某些患者和技术风险因素是可以修改的，并且可能降低复发率。但是，许多其他因素是不可修改的。

"点击查看英文标题和摘要"

Causes of recurrences after open inguinal herniorrhaphy.

PURPOSE One of the most important measures of success of open inguinal herniorrhaphy is the incidence of recurrence. Reports suggest that up to 13% of all inguinal hernia repairs worldwide, irrespective of the approach, are repaired for recurrence. The reason as to why inguinal hernias recur is most likely multifactorial. The aim of this review is to evaluate the risk factors responsible for these recurrences in open suture and mesh techniques. METHODS A search of the Medline, Embase, Science Citation Index, Current Contents and PubMed databases identified English language, peer-reviewed articles on the causes of recurrence following open inguinal herniorrhaphy published between 1990 and 2018. The search terms included 'Inguinal hernia'; 'Open methods'; 'Suture repair'; 'Mesh repair', 'Recurrence', 'Causes', 'Humans'. RESULTS The literature revealed several contributing modifiable and non-modifiable risk factors that were responsible for recurrence following open suture and mesh inguinal herniorrhaphy. These included perioperative, patient and hernia factors. CONCLUSIONS Despite the advent of laparoscopic techniques, open inguinal herniorrhaphy remains one of the most common surgical operations. With open inguinal hernia repairs, risk factors for recurrence can be broadly classified into perioperative, patient and hernia factors. Certain patient and technical risk factors are modifiable and could reduce the recurrence rate. However, many others factors are non-modifiable. It is therefore imperative that the outcome of open inguinal herniorrhaphy must be optimised by careful planning and education for both surgeons and patients to achieve the lowest possible risk of subsequent surgery for recurrence.

更新日期：2019-11-01

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