Biondi Antonio, Tropea Alessandro, Monaco Giuliana, Musmeci Nicola, Zanghi G, Basile Francesco
Azienda Ospedaliera Universitaria Vittorio Emanuele--Ferrarotto--S. Bambino, Catania.
Ann Ital Chir. 2010 May-Jun;81(3):193-8.
Hernia is a common problem in general surgery practice. Incisional hernia can develop in 15-25% patients after abdominal surgery. The aim of this study is to evaluate the complications of hernia surgery.
A retrospective analysis of database of surgery department from January 2003 to April 2009 has involved 84 patients who were treated in laparoscopy at the General Surgery and Oncology Department of Catania University. Sixty-three cases were incisional hernia, 21 primitive ventral hernia. In 51 cases (64.5%) the Dual Mesh were applied and in 28 (35.4%) the Bard Composix Mesh. Postoperatory complications were classified in early and late ones, respectively according to their occurrence before or after 30 days from surgery. Clinical follow ups were performed at one month and thereafter at quarterly intervals for the first year and then annually.
Among the early complications we found that patients treated with the Dual Mesh had an incidence of seroma, 8.9% versus 7.8% if compared to those treated with the Bard Composix. Insignificant was the impact of other early complications related to both types of mesh. Some influence in the onset of complications is BMI, in fact the average of complicated cases were 29.5%, while uncomplicated ones were lower: 25 (p < 0.05).
In our study we looked at early and late complications that can follow laparoscopic treatment of the parietal defects. We have not found statistically significant differences between the two types of implants, which are nevertheless among the early seroma complications which are found to be more frequent in cases treated with the Dual Mesh.
During this study we observed a higher incidence of seroma and recurrence in cases treated with Dual Mesh in agreement with data reported in literature.
疝气是普通外科常见问题。腹部手术后，15% - 25%的患者会发生切口疝。本研究旨在评估疝气手术的并发症。
对卡塔尼亚大学普通外科和肿瘤科2003年1月至2009年4月手术科室数据库进行回顾性分析，纳入84例接受腹腔镜治疗的患者。其中63例为切口疝，21例为原发性腹疝。51例（64.5%）应用双网片，28例（35.4%）应用巴德复合网片。术后并发症分为早期和晚期，分别根据其在手术后30天之前或之后发生来划分。术后1个月进行临床随访，此后第一年每季度随访一次，之后每年随访一次。
在早期并发症中，我们发现使用双网片治疗的患者血清肿发生率为8.9%，与使用巴德复合网片治疗的患者相比为7.8%。与两种网片相关的其他早期并发症影响不显著。BMI对并发症的发生有一定影响，实际上并发症患者的平均BMI为29.5%，而未发生并发症的患者较低，为25（p < 0.05）。
在我们的研究中，我们观察了腹腔镜治疗腹壁缺损后可能出现的早期和晚期并发症。我们未发现两种植入物之间存在统计学显著差异，不过在早期血清肿并发症方面，发现双网片治疗的病例更为常见。
在本研究中，我们观察到与文献报道的数据一致，使用双网片治疗的病例血清肿和复发发生率较高。
