[术后腹疝的杂交修复术]

[Hybrid repair of postoperative ventral hernia].

作者信息

Gogiya B Sh, Alyautdinov R R, Karmazanovsky G G, Chekmareva I A, Kopyltsov A A

机构信息

Herniology and Plastic Surgery Department of, Vishnevsky Institute of Surgery of Healthcare Ministry of the Russian Federation, Moscow, Russia.

出版信息

Khirurgiia (Mosk). 2018(4):24-30. doi: 10.17116/hirurgia2018424-30.

DOI:10.17116/hirurgia2018424-30

PMID:29697679

Abstract

AIM

To develop new technique of abdominal wall repair for postoperative ventral hernia without disadvantages which are intrinsic for open and laparoscopic surgery.

MATERIAL AND METHODS

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.

RESULTS

There were no cases of recurrence or infectious complications in long-term period (from 3 to 106 months).

CONCLUSION

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.

摘要