Sturt N Julian H, Liao Christopher C L, Engledow Alec H, Menzies Donald, Motson Roger W
Department of Surgery, Colchester General Hospital, Colchester, Essex, UK.
Surg Laparosc Endosc Percutan Tech. 2011 Apr;21(2):86-9. doi: 10.1097/SLE.0b013e31820cee0c.
In this study incisional hernia repairs at a single UK institution between 1994 and 2008 were analyzed with respect to short-term and long-term results. Prospectively collected data were analyzed retrospectively to ascertain outcomes, complications, and recurrences. Two hundred and twenty-seven operations were performed with 35% of the operations being for recurrent hernias. A self-centering suture technique was used. Median operating time was 55 minutes. There were 8 conversions and median hospital stay was 1 night. There were 52 complications (23%) including 3 postoperative bleeds, 3 mesh infections, and 4 small bowel obstructions. Median postoperative follow-up was 53 months. There were 25 recurrences (11%) being detected, a median of 17 months after initial operation. In this large series, laparoscopic incisional hernia repair is safe and is associated with a short hospital stay. Recurrences after repair remain a concern prompting the development of strategies to try and minimize the likelihood of this occurring.
在本研究中，对1994年至2008年间英国一家机构的切口疝修补术的短期和长期结果进行了分析。对前瞻性收集的数据进行回顾性分析，以确定结果、并发症和复发情况。共进行了227例手术，其中35%的手术是针对复发性疝。采用了一种自定心缝合技术。中位手术时间为55分钟。有8例中转手术，中位住院时间为1晚。有52例并发症（23%），包括3例术后出血、3例补片感染和4例小肠梗阻。术后中位随访时间为53个月。检测到25例复发（11%），初次手术后中位复发时间为17个月。在这个大型系列研究中，腹腔镜切口疝修补术是安全的，且住院时间短。修补术后的复发仍然是一个问题，促使人们制定策略以尽量减少其发生的可能性。
