| Autor: |
Robert E. Condon, Henry N. Harkins, Lloyd M. Nyhus |
| Rok vydání: |
1960 |
| Předmět: |
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| Zdroj: |
The American Journal of Surgery. 100:234-244 |
| ISSN: |
0002-9610 |
| DOI: |
10.1016/0002-9610(60)90296-8 |
| Popis: |
1.1. The principle of preperitoneal laminar restoration of the anatomy and the importance of the transversalis fascia lamina in hernial repair of the groin are emphasized. 2.2. The structures which are actually used for repair are a group of local ligaments within the transversalis fascia. We have designated these structures as transversalis fascia analogues. In direct hernial repair, for example, superomedial transversalis fascia is joined to inferolateral transversalis fascia analogues (Cooper's ligament and iliopubic tract). 3.3. The surgical anatomy of the transversalis fascia and the transversalis fascia analogues is described. 4.4. One hundred fifty patients with hernias of the groin have been operated upon by the preperitoneal approach; this represents an experience of 213 separate hernial repairs (forty-eight femoral, sixty direct, and 105 indirect inguinal hernias). 5.5. A recurrent hernia rate of approximately 2 per cent was found. All but one recurrence followed repair of indirect inguinal hernias by a technic discarded by us over two years ago. There have been no recurrences following indirect hernial repair by the technic herein described. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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