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术后腹疝的杂交技术——个人经验

Hybrid technique for postoperative ventral hernias - own experience.

作者信息

Romanowska Monika, Okniński Tomasz, Pawlak Jacek

机构信息

Department of General Surgery, John Paul II Specialist Western Hospital, Grodzisk Mazowiecki, Poland.

出版信息

Wideochir Inne Tech Maloinwazyjne. 2016 Jan;10(4):534-40. doi: 10.5114/wiitm.2015.55689. Epub 2015 Nov 20.

Abstract

INTRODUCTION

There are many techniques which may be involved in abdominal hernia repair, from classical to tension-free. Treatment of complicated hernias has undergone evolution. Many surgeons consider the laparoscopic method as a method of choice for incisional hernia repair. Sometimes miniinvasive repair of complicated hernia is not so easy to perform. We are convinced that selected patients may benefit from combined open and laparoscopic techniques.

AIM

To present the operating technique and early results of treatment of 15 patients operated on using the 3 hybrid technique.

MATERIAL AND METHODS

Fifteen patients suffering from recurrent incisional hernias underwent the hybrid technique for their repair between June 2012 and April 2015. The hybrid technique was performed using synthetic meshes in 14 cases and a biological implant in 1 case.

RESULTS

The early postoperative period was uncomplicated in all cases. Within a maximum follow-up period of 32 months, two deep wound infections were observed.

CONCLUSIONS

The hybrid technique may be used in patients with recurrent incisional hernias.

摘要

引言

从传统手术到无张力手术,腹部疝修补术涉及多种技术。复杂疝的治疗已经历了演变。许多外科医生认为腹腔镜手术是切口疝修补的首选方法。有时,复杂疝的微创修复并不那么容易实施。我们确信,部分患者可能受益于开放手术与腹腔镜技术相结合的方式。

目的

介绍采用3种混合技术对15例患者进行手术的操作技术及早期治疗结果。

材料与方法

2012年6月至2015年4月期间,15例复发性切口疝患者接受了混合技术修复手术。14例使用合成补片,1例使用生物植入物进行混合技术手术。

结果

所有病例术后早期均无并发症。在最长32个月的随访期内,观察到2例深部伤口感染。

结论

混合技术可用于复发性切口疝患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1036/4729725/d9db8777e851/WIITM-10-26123-g001.jpg

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