Gogiya B Sh, Alyautdinov R R, Karmazanovsky G G, Chekmareva I A, Kopyltsov A A
Herniology and Plastic Surgery Department of, Vishnevsky Institute of Surgery of Healthcare Ministry of the Russian Federation, Moscow, Russia.
Khirurgiia (Mosk). 2018(4):24-30. doi: 10.17116/hirurgia2018424-30.
To develop new technique of abdominal wall repair for postoperative ventral hernia without disadvantages which are intrinsic for open and laparoscopic surgery.
Combined open and laparoscopic hernia repair was used in 18 patients with postoperative ventral hernia. Open stage provided safe dissection of abdominal adhesions and defect closure by autoplasty, laparoscopic procedure consisted of prosthesis deployment without separation of abdominal wall layers. Two types of composite endoprostheses with anti-adhesive coating were used for abdominal wall repair.
There were no cases of recurrence or infectious complications in long-term period (from 3 to 106 months).
Hybrid repair of postoperative ventral hernia is safe and effective procedure. Further studies are necessary to assess cost-effectiveness ratio of this method in view of expensive composite endoprostheses and laparoscopic supplies.
开发一种用于术后腹疝腹壁修复的新技术，避免开放手术和腹腔镜手术固有的缺点。
18例术后腹疝患者采用开放与腹腔镜联合疝修补术。开放阶段通过自体成形术安全分离腹部粘连并关闭缺损，腹腔镜手术包括在不分离腹壁各层的情况下植入假体。两种带抗粘连涂层的复合内置假体用于腹壁修复。
长期（3至106个月）无复发或感染并发症病例。
术后腹疝的混合修复是一种安全有效的手术方法。鉴于复合内置假体和腹腔镜耗材价格昂贵，有必要进一步研究以评估该方法的成本效益比。
