Herniology: past, present, and future
Herniology: past, present, and future
复制标题
疝病学：过去、现在和未来
作者：
R. Read
尽管疝修补术经常进行，但大多数外科医生认为它是一个小手术。然而，一些外科医生的观点不同。大师是巴西尼（1884），他提出了一种根治腹股沟疝的方法。切开他的三层、内斜肌、横肌和横肌，进入腹膜前间隙，允许高位结扎囊并将肿块缝合到腹股沟韧带上。2.7%的复发率引起了全世界的效仿。腐败了。保留胸肌，缝合少量未切开的层，不使用砌块，同时使用胸肌或直肌、筋膜瓣、松弛切口和银圈进行加固。巴西尼的作品几乎没有什么进步，这让人对他的作品产生了怀疑。Russell （Lancet:1197 - 1203, 1906）的疝囊结扎术直到1953年才被采用，当时Shouldice诊所恢复了Bassini的原则，成为几十年来的黄金标准。Cheatle （Br Med J . 2:68 - 69,1920）引入后腹膜前修复。Acquaviva和Bourret （Presse Med 73:892, 1948）设计了第一个塑料假体（尼龙），用聚丙烯代替。Usher（外科妇产科，1963:239 - 240,1963）将脐带做成顶骨。这些贡献为Rives， Stoppa， Wantz和Gilbert修复，Ger的腹腔镜方法和不太常见的疝气修补铺平了道路。PresentChevrel（1979）成立了GREPA，后来演变为欧洲疝气学会（EHS），并与美国疝气学会（AHS）联合创办了《疝气》杂志。Nilsson（1993）建立了全国疝气登记制度，减少了复发率和更好的前瞻性研究。在21世纪，利希滕斯坦手术在腹股沟疝修补术中占主导地位。疝气学家接受全身性结缔组织紊乱作为腹疝和盆腔脱垂的病因。这种疾病解释了为什么假体缓慢但不能消除复发。需要开发和使用解毒剂。结论该疾病是修复缓慢而不消除复发的原因。需要开发和使用解毒剂。
IntroductionDespite herniorrhaphy being performed frequently, most surgeons consider it to be a minor procedure. However, a few surgeons’ views differed.The PastThe Master was Bassini (1884), who introduced a radical cure for inguinal hernia. Incising his triple layer, internal oblique, transversus, and transversalis, he entered the preperitoneal space, allowing high ligation of the sac and mass suturing to the inguinal ligament. A 2.7% recurrence rate evoked worldwide emulation. Corruption ensued. The cremaster remained and few unincised layers were stitched, without imbrications, along with reinforcement using the cremaster or rectus muscles, fascial flaps, relaxing incisions, and silver coils. Little improvement cast doubt on Bassini’s work. Russell’s (Lancet 2:1197–1203, 1906) ligation of the hernial sac was adopted until 1953, when the Shouldice clinic revived Bassini’s tenets, becoming the gold standard for decades. Cheatle (Br Med J 2:68–69, 1920) introduced posterior pre-peritoneal repair. Acquaviva and Bourret (Presse Med 73:892, 1948) designed the first plastic prosthesis (nylon), replaced by polypropylene. Usher (Surg Gynecol Obstet 117:239–240, 1963) parietalized the cord. These contributions paved the way for the Rives, Stoppa, Wantz, and Gilbert repairs, Ger’s laparoscopic approach, and less common herniorrhaphies.The PresentChevrel (1979) formed the GREPA, which evolved into the European Hernia Society (EHS), joining with the American Hernia Society (AHS) to form the journal ‘Hernia.’ Nilsson (1993) instituted national hernia registries, enabling less recurrences and better prospective research.The FutureIn the 21st century, the Lichtenstein procedure has dominated inguinal herniorrhaphy. Herniologists accepted systemic connective tissue disorder as the etiology of abdominal hernia and pelvic prolapses. This malady explains why prostheses slow but do not eliminate recurrence. Antidotes need to be developed and employed.Conclusion This malady explains why prostheses slow but do not eliminate recurrence. Antidotes need to be developed and employed.