Palanivelu C, Jani K V, Senthilnathan P, Parthasarathi R, Madhankumar M V, Malladi V K
Department of GI and Minimally Invasive Surgery, Gem Hospital, 45 A, Pankaja Mill Road, Ramanathapuram, Coimbatore, 641045, Tamilnadu, India.
Hernia. 2007 Jun;11(3):223-8. doi: 10.1007/s10029-007-0200-0. Epub 2007 Feb 13.
This study reports medium-term outcomes of laparoscopic incisional hernia repair.
Laparoscopic repair was performed on 721 patients with ventral hernia. After adhesiolysis the defect was closed with no. 1 polyamide suture or loop. This was followed by reinforcement with intraperitoneal onlay repair with a bilayered mesh.
Laproscopic repair of ventral hernia was performed on 613 females and 108 males. Of these, 185 (25.7%) were recurrent incisional hernias of which 93 had undergone previous open hernioplasty. The remaining 92 patients had previously undergone sutured repair. The average operating time was 95 min (range 60-115 min). Conversion rate was 1%. The average hospital stay was 2 days (range 1-6 days). The commonest complication was seroma formation at the incisional hernia site. Full-thickness bowel injury occurred in two patients. The mean follow-up period was 4.2 years (range 3 months to 10 years). Recurrence was noted in four (0.55%) patients.
Laparoscopic repair is well-tolerated and can be accomplished with minimum morbidity in ventral hernias.
本研究报告了腹腔镜切口疝修补术的中期结果。
对721例腹疝患者进行了腹腔镜修补术。粘连松解后，用1号聚酰胺缝线或圈套器关闭缺损。随后用双层补片进行腹膜内覆盖修补加强。
对613例女性和108例男性进行了腹腔镜腹疝修补术。其中，185例（25.7%）为复发性切口疝，其中93例曾接受过开放性疝修补术。其余92例患者曾接受过缝合修补术。平均手术时间为95分钟（范围60 - 115分钟）。中转开腹率为1%。平均住院时间为2天（范围1 - 6天）。最常见的并发症是切口疝部位形成血清肿。2例患者发生全层肠损伤。平均随访期为4.2年（范围3个月至10年）。4例（0.55%）患者出现复发。
腹腔镜修补术耐受性良好，腹疝修补时可将发病率降至最低。
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