Mesh?????????????

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Mesh?????????????
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Mesh???????????
????? Kugel patch?
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1.Lichtenstein??1989???? mesh????????????????
???? tension-free???????????????
???????????? ??????????????????????
(??)???????? ???mesh???????
(??)??????????? ?????????????
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2.Laparoscopic Herniorrhaphy?1990????
(?1????1992?????) ??????????mesh???
(??)???????????????????????
??????????????? ???????????????????
?????????????? (??)?????????(learning
curve???) ???????????????????????
??????? lt????gt ????????????20.800?
????????6.000?
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3.Mesh-Plug??1993????(1995?????)
plug??????????onlay mesh??????????
???plug??????????????? onlay
mesh??????????? (??)?????
(??)plug???????? onlay mesh????????
????????????? ?????onlay mesh?????????????????
(?????????plug-stein?????????) ? onlay
mesh????????plug?????????
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4.Prolene Hernia System(PHS)?1998???? underlay
patch??????????? onlay patch?????????????
(??)?????????????mesh??? (??)????????????????
?????? underlay patch?????????????
???????????underlay patch???????
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5.Kugel Patch Repair?1998????(2002?????)
??????????????????????? preperitoneal
repair(Stoppa???)??? ???????????????
(??)???????????(????????concept) ?????????
(??)???????(learning curve???)
???????????????????
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5. Direct Kugel Patch(Modified Kugel
Patch)?2004???? ???????(anterior
approach)??????mesh??? ???????????????
(???PHS???) onlay patch?????????
(??)????????? ?????mesh???
(??)??????? ?????????? ?????
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Prolene 3D Patch (2005???) ??????? Mesh-Plug????
??
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???????????????(436??)
??????????????????7???????? ????? 9(5) 475-569
2004 1412??
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??????????(175??)
??????????????????7???????? ????? 9(5) 475-569
2004 1412??
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?????(66.746?????????8.414?(13))
??????????????????7???????? ????? 9(5) 475-569
2004 1412??
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open meshLeichtenstein open patchProlene Hernia
System(PHS)?Kugel Patch open plugMesh-Plug?Plug
only
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