Cavallaro G, Campanile Fc, Rizzello M, Greco F, Iorio O, Angelis F De, Rengo M, Silecchia G
Department of Medico-Surgical Sciences, Sapienza University, Rome, Italy.
Chirurgia (Bucur). 2013 May-Jun;108(3):304-11.
Laparoscopic repair of ventral hernias has gained popularity, since many studies have reported encouraging results. The choice of the mesh and fixation methods are crucial issues in preventing complications and recurrence. 30 laparoscopic ventral hernia repair performed consecutively in 28 patients (11 males, 17 females) for different kinds of incisional hernias from February 2011 to June 2012 were prospectively evaluated. All patients received total laparoscopic incisional hernia repair by the use of the new lightweight polypropylene mesh with resorbable coating (PhysiomeshTM, Ethicon Endo-Surgery, Johnson Johnson, Inc.). No major postoperative complications were reported. Two recurrences were diagnosed after 5 months from the first repair. Both patients received laparoscopic repair by the same kind of mesh. Lightweight polypropylene mesh with resorbable coating, with its properties of easy positioning and bio-compatibility, represents an innovation in laparoscopic incisional hernia repair, and should be considered for clinical intra-operative as well as long term evaluations.
腹腔镜修补腹疝已越来越普遍，因为许多研究都报告了令人鼓舞的结果。补片的选择和固定方法是预防并发症和复发的关键问题。对2011年2月至2012年6月期间连续为28例患者（11例男性，17例女性）进行的30例腹腔镜腹疝修补术进行了前瞻性评估，这些患者患有不同类型的切口疝。所有患者均使用新型可吸收涂层轻质聚丙烯补片（PhysiomeshTM，爱惜康内镜外科公司，强生公司）进行全腹腔镜切口疝修补术。未报告重大术后并发症。首次修补术后5个月诊断出2例复发。两名患者均接受了同种补片的腹腔镜修补术。具有易于定位和生物相容性的可吸收涂层轻质聚丙烯补片代表了腹腔镜切口疝修补术的一项创新，应在临床手术及长期评估中予以考虑。
