Siddiky A H, Kapadia C R
Airedale General Hospital, Steeton, UK.
J Surg Case Rep. 2010 Jul 1;2010(5):3. doi: 10.1093/jscr/2010.5.3.
Distasis recti is a common occurrence in multiparous women (1), caused by repeated stretching of the abdominal wall by the gravid uterus. A small proportion of patients have a persisting weakness which may be symptomatic and present to the surgeon. We would like to present a case which, thus far, has had a successful outcome from laparoscopic plication of the linea alba without mesh. The benefits of this approach are as for any laparoscopic versus open technique, most notably improved recovery time, reduced pain and wound infection. Furthermore, avoidance of a mesh negates the risks associated with insertion of a foreign body.
腹直肌分离在经产妇中很常见(1),由妊娠子宫反复拉伸腹壁所致。一小部分患者存在持续的肌无力,可能出现症状并就医于外科医生。我们想介绍一例迄今为止通过白线腹腔镜折叠术(不使用补片)取得成功结果的病例。这种方法的优点与任何腹腔镜手术相对于开放手术的优点相同,最显著的是恢复时间缩短、疼痛减轻和伤口感染减少。此外,避免使用补片可消除与插入异物相关的风险。