Hussain A, Mahmood H, Nicholls J, El-Hasani S
Department of General Surgery and Minimal Access Surgery, Princess Royal University Hospital, Farnborough Common, Orpington, BR6 8ND, kent, UK.
Int J Surg. 2008 Feb;6(1):15-9. doi: 10.1016/j.ijsu.2007.11.006. Epub 2007 Dec 3.
Ventral hernia is commonly repaired by the open mesh method. However, since the introduction of the laparoscopic technique, it is increasingly becoming the method of choice of treating ventral hernia. The aim of this study is to evaluate our initial experience of 61 consecutive laparoscopic ventral hernia repairs.
Laparoscopic ventral hernia repair was performed for 61 consecutive patients. All operations were performed by a single consultant surgeon through a period of 16 months. Different types and sizes of hernias were repaired using a suitable mesh size. A 0 degrees 5mm scope, two other 5mm ports and a single 10-15mm port were used. The follow-up was by outpatient visits.
Thirty-two men (52.45%) and 29 women (47.54%) were included in this study. The mean age was 53.42 years (range 39-80 years). The mean hospital stay for 34 (54.74%) patients was 1.67 days (range 1-9 days), while 27 (44.26%) patients were discharged within 23hours of the time of the admission. The mean body mass index (BMI) was 26.59 (range 21-47). The morbidity rate was 16.39% (10 complications).
Laparoscopic ventral hernia repair is feasible, safe and associated with an acceptable rate of complications. Laparoscopic ventral hernia repair can be performed as short stay surgery.
腹疝通常采用开放补片修补法进行修复。然而，自腹腔镜技术引入以来，它越来越成为治疗腹疝的首选方法。本研究的目的是评估我们连续61例腹腔镜腹疝修补术的初步经验。
对61例连续患者进行腹腔镜腹疝修补术。所有手术均由一名顾问外科医生在16个月的时间内完成。使用合适尺寸的补片修复不同类型和大小的疝。使用一个0度5毫米的腹腔镜、另外两个5毫米的穿刺孔和一个10 - 15毫米的穿刺孔。通过门诊随访。
本研究纳入了32名男性（52.45%）和29名女性（47.54%）。平均年龄为53.42岁（范围39 - 80岁）。34名（54.74%）患者的平均住院时间为1.67天（范围1 - 9天），而27名（44.26%）患者在入院后23小时内出院。平均体重指数（BMI）为26.59（范围21 - 47）。发病率为16.39%（10例并发症）。
腹腔镜腹疝修补术是可行、安全的，且并发症发生率可接受。腹腔镜腹疝修补术可作为短期住院手术进行。
