腹腔镜切口疝和腹疝修补术（LIVH）：一种不断发展的门诊技术。
Laparoscopic incisional and ventral hernia repair (LIVH): an evolving outpatient technique.
作者信息
Gillian G Kevin, Geis W Peter, Grover Gary
机构信息
Southern Maryland Hospital Center, Clinton, Maryland, USA.
出版信息
JSLS. 2002 Oct-Dec;6(4):315-22.
BACKGROUND AND OBJECTIVES
The contemporary results of open incisional and ventral hernia repair are unsatisfactory because of high recurrence rates and morbidity levels. Laparoscopic repair of ventral and incisional hernias (LIVH) can be accomplished in a simple, reproducible manner while dramatically lowering recurrence rates and morbidity.
METHODS
One hundred consecutive patents underwent laparoscopic repair of their ventral and incisional hernias over a 27-month period. Composix mesh and Composix E/X mesh (Davol Inc., Cranston, RI) were utilized for the repairs. Transfixion sutures were not used.
RESULTS
All repairs were completed laparoscopically. No conversions to open techniques were necessary. No postoperative infections have been observed. One recurrent hernia was identified and subsequently repaired with the same technique.
CONCLUSIONS
LIVH can be accomplished with a dramatic reduction in recurrence rates and morbidity. The technique for this repair is still in a state of evolution. The construction and handling characteristics of this particular type of mesh have allowed us to eliminate transfixion sutures and to simplify the repair technique while maintaining a very low recurrence rate.
背景与目的
由于高复发率和发病率，开放性切口疝和腹疝修补术的当代疗效并不理想。腹腔镜下腹疝和切口疝修补术（LIVH）可以以一种简单、可重复的方式完成，同时显著降低复发率和发病率。
方法
在27个月的时间里，连续100例患者接受了腹腔镜下腹疝和切口疝修补术。使用Composix补片和Composix E/X补片（Davol公司，罗德岛州克兰斯顿）进行修补。未使用贯穿缝扎缝线。
结果
所有修补均通过腹腔镜完成。无需转为开放手术。未观察到术后感染。发现1例复发性疝，随后采用相同技术进行修补。
结论
LIVH可以显著降低复发率和发病率。这种修补技术仍在不断发展。这种特殊类型补片的结构和操作特性使我们能够省去贯穿缝扎缝线，简化修补技术，同时保持极低的复发率。
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