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[腹腔镜腹股沟疝手术中腹膜内置入补片的方法(IPOM——腹膜内覆盖补片)]

[Methods of intraperitoneal placement of mesh in laparoscopic surgery of inguinal hernias (IPOM--Intraperitoneal Onlay Mesh)].

作者信息

Czudek S, Mec V, Ríha D, Matloch J, Branný J

机构信息

Centrum miniinvazivní chirurgie, Nemocnice Podlesí.

出版信息

Rozhl Chir. 2001 Jan;80(1):30-4.

Abstract

BACKGROUND

Intraperitoneal onlay mesh is a new method of laparoscopic inguinal hernia repair shortening an operative time and reducing its cost, which is very safe and less burdening a patient.

METHODS

325 males and 37 females at the mean age of 47.3 years were operated on electively for symptomatic inguinal hernia by IPOM method. In all cases we used a polyester mesh impregnated with silicone.

RESULTS

The mean operative time was 18 minutes for unilateral procedure and 28 minutes for bilateral one. There was no serious complication during the operation even the post-operative time and no recurrency following this type of the operation.

CONCLUSION

IPOM hernioplasty can be a method of choice in the inguinal hernia repair because of this procedure is very simple, cheap and safe for a patient. We have to wait for a long-term results to validate the hitherto existing ones, even if they are very optimistic.

摘要

背景

腹膜内补片植入是一种腹腔镜腹股沟疝修补的新方法,可缩短手术时间并降低成本,该方法非常安全且对患者负担较小。

方法

325例男性和37例女性,平均年龄47.3岁,因有症状的腹股沟疝择期接受腹膜内补片植入法手术。所有病例均使用浸渍硅胶的聚酯补片。

结果

单侧手术平均手术时间为18分钟,双侧手术为28分钟。术中无严重并发症,术后也无复发。

结论

腹膜内补片植入疝修补术可成为腹股沟疝修补的一种选择方法,因为该手术对患者而言非常简单、廉价且安全。即使目前的结果非常乐观,我们仍需等待长期结果来验证现有结果。

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