腹直肌旁切口疝补片外置和内置修补技术长期疗效的随机前瞻性比较
Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia.
作者信息
Sevinç Barış, Okuş Ahmet, Ay Serden, Aksoy Nergis, Karahan Ömer
机构信息
Department of General Surgery, Medical Park Uşak Hospital, Uşak, Turkey.
Department of General Surgery, Karatay University School of Medicine, Konya, Turkey.
出版信息
Turk J Surg. 2018 Jan 4;34(1):17-20. doi: 10.5152/turkjsurg.2017.3712. eCollection 2018.
OBJECTIVE
Incisional hernia is a significant problem after laparotomy, and there is still no consensus on an ideal treatment method. The aim of this study was to compare the results of onlay and sublay mesh repair techniques.
MATERIAL AND METHODS
In this randomized prospective trial, 100 patients were divided into two groups: onlay and sublay groups. Recurrences were evaluated by performing a physical examination.
RESULTS
The median follow-up was 37.1 (26.6 to 46.5) months. In the onlay group, the mean operation time was significantly shorter. However, in terms of postoperative pain and wound complications, the sublay group had significantly better results. The recurrence rates were found to be similar in both groups (6% in the onlay group and 2% in the sublay group).
CONCLUSION
In the treatment of incisional hernia, sublay mesh repair is superior to onlay mesh repair in terms of postoperative pain and wound complications. Both techniques have similar recurrence rates.
目的
切口疝是剖腹手术后的一个重要问题，对于理想的治疗方法仍未达成共识。本研究的目的是比较补片外置修补术和补片植入修补术的治疗结果。
材料与方法
在这项随机前瞻性试验中，100例患者被分为两组：补片外置组和补片植入组。通过体格检查评估复发情况。
结果
中位随访时间为37.1（26.6至46.5）个月。在补片外置组，平均手术时间明显更短。然而，在术后疼痛和伤口并发症方面，补片植入组的结果明显更好。发现两组的复发率相似（补片外置组为6%，补片植入组为2%）。
结论
在切口疝的治疗中，补片植入修补术在术后疼痛和伤口并发症方面优于补片外置修补术。两种技术的复发率相似。
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