Szymanski J, Voitk A, Joffe J, Alvarez C, Rosenthal G
Department of Surgery, The Scarborough Hospital, Grace Division, Scarborough, Suite 1840, 3030 Birchmount Road, Canada M1W 3W3.
Surg Endosc. 2000 Jun;14(6):582-4. doi: 10.1007/s004640020073.
This report describes the technique and early results of a simple outpatient laparoscopic ventral hernia repair.
Data were gathered prospectively for all laparoscopic ventral hernia repairs from January 1996 to December 1997 at a 228-bed hospital. Prolene mesh was stapled to the peritoneal surface of the abdominal wall, leaving sac in situ and mesh uncovered. Patients were seen by the operating surgeon within 2 months, and by an impartial surgeon (J.S.) after 3 to 14 months (average, 7 months; median, 6 months).
Repairs involved 44 hernias with orifice sizes 2 to 20 cm in diameter, and an average area of 20 cm(2). Of these 44 hernias, 36 were postoperative and 8 primary. Furthermore, 20% were recurrent hernias. There were four conversions. The outpatient rate was 98%, with one readmission for ileus. The early recurrence rate was 5%.
Laparoscopic mesh onlay repair is a safe, easy, and effective procedure with minimal discomfort and a low early recurrence rate that can be performed safely on an outpatient basis.
本报告描述了一种简单的门诊腹腔镜腹疝修补术的技术及早期结果。
前瞻性收集了1996年1月至1997年12月在一家拥有228张床位的医院进行的所有腹腔镜腹疝修补术的数据。将普理灵补片用吻合器固定于腹壁的腹膜表面，疝囊原位保留，补片不覆盖。手术医生在2个月内对患者进行随访，公正的外科医生（J.S.）在3至14个月（平均7个月；中位数6个月）后进行随访。
修补的44例疝，疝环直径2至20厘米，平均面积20平方厘米。这44例疝中，36例为术后疝，8例为原发性疝。此外，20%为复发性疝。有4例中转开腹。门诊治疗率为98%，1例因肠梗阻再次入院。早期复发率为5%。
腹腔镜补片覆盖修补术是一种安全、简便、有效的手术，不适症状轻微，早期复发率低，可在门诊安全进行。
