Wright Byron E, Beckerman Jason, Cohen Melissa, Cumming John K, Rodriguez Jorge L
Department of General Surgery, Hennepin County Medical Center, 701 Park Ave., Minneapolis, MN 55415-1829, USA.
Am J Surg. 2002 Dec;184(6):505-8; discussion 508-9. doi: 10.1016/s0002-9610(02)01071-1.
Laparoscopic mesh repair has been advocated as treatment of choice for ventral hernias. The term "ventral hernia" refers to a variety of abdominal wall defects and laparoscopic papers have not reported defect specific analysis. The purpose of this study was to determine any advantages to laparoscopic mesh repair of umbilical hernias.
A retrospective review (January 1998 to April 2001) was made of patients undergoing umbilical hernia repair. Patients were categorized into three groups: laparoscopic repair with mesh, open repair with mesh, and open repair without mesh. Comparative analysis was performed.
One-hundred and sixteen umbilical hernia repairs were performed in 112 patients: 30 laparoscopic mesh repairs, 20 open mesh repairs, and 66 open nonmesh repairs. The laparoscopic technique was used for larger defects and took more time with a trend toward fewer postoperative complications and recurrences.
Laparoscopic umbilical hernia repair with mesh presents a reasonable alternative to conventional methods of repair.
腹腔镜补片修补术已被倡导为腹疝的首选治疗方法。“腹疝”一词指的是多种腹壁缺损，而腹腔镜相关文献尚未报道针对缺损的具体分析。本研究的目的是确定腹腔镜补片修补脐疝是否具有任何优势。
对1998年1月至2001年4月期间接受脐疝修补术的患者进行回顾性研究。患者被分为三组：腹腔镜补片修补组、开放补片修补组和开放无补片修补组。进行了对比分析。
112例患者共进行了116例脐疝修补术：30例腹腔镜补片修补术、20例开放补片修补术和66例开放无补片修补术。腹腔镜技术用于较大的缺损，耗时更长，但术后并发症和复发率有减少的趋势。
腹腔镜补片修补脐疝是传统修补方法的一种合理替代方案。
