腹腔镜切口疝修补术。一种无需缝合的新型补片固定方法。
Laparoscopic incisional hernia repair. A new mesh fixation method without stapling.
作者信息
Kobayashi M, Ichikawa K, Okamoto K, Namikawa T, Okabayashi T, Araki K
机构信息
Department of Tumor Surgery, Kochi Medical School, Oko-cho, Nankoku, 783-8505, Japan.
出版信息
Surg Endosc. 2006 Oct;20(10):1621-5. doi: 10.1007/s00464-005-0585-8. Epub 2006 Aug 1.
BACKGROUND
Recent advances in laparoscopic surgery have made various abdominal surgeries possible. To avoid wound infection, mesh repair of abdominal incisional hernias is performed laparoscopically. Here we present a new procedure to fix mesh to the abdominal wall.
SURGICAL TECHNIQUE
Four anchoring sutures are made using a suture-grasping device; the additional transabdominal sutures are then made with a modified double-needle device. Additional circumferential fixation with tacks is not necessary.
CONCLUSIONS
This new mesh fixation method involves simple suturing techniques and is less time consuming than the conventional procedure.
背景
腹腔镜手术的最新进展使各种腹部手术成为可能。为避免伤口感染，腹部切口疝的补片修补术通过腹腔镜进行。在此，我们介绍一种将补片固定于腹壁的新方法。
手术技术
使用缝线抓取装置制作4根锚定缝线；然后用改良双针装置制作额外的经腹缝线。无需用钉进行额外的环周固定。
结论
这种新的补片固定方法涉及简单的缝合技术，且比传统方法耗时更少。
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