術後の対側発症からみた乳幼児そけいヘルニア手術法の要点

概要

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The so-called Hatakoshi repair was performed upon 1,368 children (c-6 yr.) from 1966 through 1970; high ligation of the hernial sac with closure of the transversalis fascia was performed upon 1,294 children under the comparable conditions from 1975 to 1980. Contralateral hernial appearance rate was 11.16% and 5.53%, respectively. This significance may be due to the difference of surgical procedure. These results have lead a conclusion that high ligature of the sac with or without a couple of sutures to the transversalis fascia is essential. Procedures which may interfer the valve and shutter mechanism of the contralateral side (e.g., the sutures of the aponeurosis of the internal oblique muscle to the Poupart's ligament) should be avoided.
特定非営利活動法人日本小児外科学会の論文
1982-10-20