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无固定情况下镍钛诺疝修补装置在腹股沟疝修补术中的稳定性

NiTiNol hernia device stability in inguinal hernioplasty without fixation.

作者信息

Brown Roderick B

机构信息

Glenwood, NM 56334, USA.

出版信息

JSLS. 2011 Apr-Jun;15(2):160-4. doi: 10.4293/108680811X13022985132010.

DOI:10.4293/108680811X13022985132010
PMID:21902967
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3148863/
Abstract

BACKGROUND AND OBJECTIVE

To determine whether the NiTiNol frame of a novel hernia repair device utilizing polypropylene mesh for inguinal hernioplasty remains stable and intransient without fixation after a minimum of 6 months.

METHODS

Twenty patients had 27 inguinal hernias repaired using a novel hernia repair device that has a NiTiNol frame without any fixation. Initial single-view, postoperative X-rays were compared with a second X-ray obtained at least 6 months later. The NiTiNol frame, which can be easily visualized on a plain X-ray, was measured in 2 dimensions, as were anatomic landmarks. The measurements obtained and the appearances of the 2 X-rays were compared to determine the percentage of change in device size and device stability with regard to device location and shape.

RESULTS

There were minimal changes noted between the 2 sets of measurements obtained with an overall trend towards a slight increase in the size of the hernia repair device. The devices demonstrated intransience of position and stability of shape.

CONCLUSIONS

The NiTiNol frame of a novel hernia repair device utilizing polypropylene mesh exhibits radiographic evidence of size and shape stability and intransience of position without fixation when used in inguinal hernioplasty after a minimum follow-up of 6 months.

摘要

背景与目的

确定一种使用聚丙烯网片进行腹股沟疝修补术的新型疝修补装置的镍钛诺框架在至少6个月后无固定的情况下是否保持稳定且无移位。

方法

20例患者使用一种新型疝修补装置修复了27例腹股沟疝,该装置的镍钛诺框架无任何固定。将初始的单视图术后X线片与至少6个月后获得的第二张X线片进行比较。在二维平面上测量镍钛诺框架(在普通X线片上易于观察到)以及解剖标志。比较两次测量结果以及两张X线片的外观,以确定疝修补装置在尺寸、位置和形状方面的变化百分比以及装置稳定性。

结果

两组测量结果之间变化极小,总体趋势是疝修补装置尺寸略有增加。装置显示出位置无移位且形状稳定。

结论

在至少随访6个月的腹股沟疝修补术中,使用聚丙烯网片的新型疝修补装置的镍钛诺框架在无固定的情况下,在影像学上显示出尺寸和形状稳定以及位置无移位的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/199f/3148863/1aab2dc70029/jls0021127220005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/199f/3148863/65922e1d8efa/jls0021127220001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/199f/3148863/97725864d1b3/jls0021127220002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/199f/3148863/be87a4aed59b/jls0021127220003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/199f/3148863/f2002fb82ff3/jls0021127220004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/199f/3148863/1aab2dc70029/jls0021127220005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/199f/3148863/65922e1d8efa/jls0021127220001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/199f/3148863/97725864d1b3/jls0021127220002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/199f/3148863/be87a4aed59b/jls0021127220003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/199f/3148863/f2002fb82ff3/jls0021127220004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/199f/3148863/1aab2dc70029/jls0021127220005.jpg

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