Farrakha M
Al Jazziera Hospital, Post Office Box 2427, Abu Dhabi, United Arab Emirates.
Surg Endosc. 2000 Dec;14(12):1156-8. doi: 10.1007/s004640000305.
Laparoscopic repair of abdominal wall hernias has been introduced recently to treat both spontaneous and incisional hernias with reported good results. In the Mafraq and Al Jaziera Hospitals in the United Arab Emirates, 18 patients have been treated using the laparoscopic technique. These cases included 11 incisional hernias, 5 spontaneous paraumbilical hernias, and 2 combined incisional and paraumbilical hernias. A bilayer repair was performed in all cases using a layer of polyester mesh to bridge the defect and a sheet of Gore-Tex (W. L. Gore & Associates, Flagstaff, AZ, USA) to prevent adhesions between first layer and the bowel. Seroma at the hernia site was the most frequent postoperative complication. Hospital stay ranged from 2 to 7 days (mean, 3.2 days). Recurrent hernia developed in one patient after a mean follow up of 22.3 months. This technique is in its evolution. Long follow-up evaluation is required before the effect on recurrence is known, and further development regarding the composition of prosthetic biomaterials and the methods of its fixation is expected.
腹腔镜腹壁疝修补术最近已被引入用于治疗自发性疝和切口疝，据报道效果良好。在阿拉伯联合酋长国的马弗拉克医院和扎耶拉医院，18例患者接受了腹腔镜技术治疗。这些病例包括11例切口疝、5例自发性脐旁疝和2例切口疝合并脐旁疝。所有病例均采用双层修补，用一层聚酯网片覆盖缺损，并用一片戈尔特斯（美国亚利桑那州弗拉格斯塔夫的W.L.戈尔公司生产）防止第一层与肠管之间粘连。疝部位的血清肿是最常见的术后并发症。住院时间为2至7天（平均3.2天）。平均随访22.3个月后，有1例患者出现复发性疝。这项技术仍在发展中。在了解其对复发的影响之前，需要进行长期随访评估，并且预期在人工生物材料的组成及其固定方法方面会有进一步发展。
