[急腹症剖腹术后腱膜缝合的一种新方法]
[A new method of aponevrosis suturing after laparotomy in urgent abdominal surgery].
作者信息
Fedoseev A V, Rybachkov V V, Inyutin A S, Muravyev S Yu, Lebedev S N
机构信息
Ryazan State Medical University of the Ministry of Health Russia, Ryazan, Russia.
Yaroslavl State Medical University of the Ministry of Health of Russia, Yaroslavl, Russia.
出版信息
Khirurgiia (Mosk). 2020(1):40-45. doi: 10.17116/hirurgia202001140.
OBJECTIVE
To improve the results of treatment of patients undergoing laparotomy by using of a new method of aponeurosis suturing after laparotomy.
MATERIAL AND METHODS
Training process for a new method of aponeurosis suturing after laparotomy was organized on the patented medical simulator for learning the technique of laparotomy closure. The method was introduced into surgical practice later. The study involved 130 patients who underwent emergency abdominal surgery through median laparotomy. The main group consisted of 70 patients (laparotomy closure using the proposed method (RF patent No.2644846 dated 02/14/18). Interrupted sutures were applied for aponeurosis suturing in the control group.
RESULTS
Duration of laparotomy closure was similar in both groups. Postoperative ventral hernias in 1 year after surgery occurred in 5 (8%) patients of the main group and in 11 (18%) patients of the control group.
CONCLUSION
The proposed method of aponeurosis suturing after laparotomy is mastered by students and serves as effective method for prevention of postoperative ventral hernias and eventration.
目的
通过使用一种新的剖腹术后腱膜缝合方法来改善接受剖腹手术患者的治疗效果。
材料与方法
在获得专利的医学模拟器上组织了剖腹术后腱膜缝合新方法的培训过程，以学习剖腹手术关闭技术。该方法随后被引入外科实践。该研究纳入了130例通过正中剖腹术接受急诊腹部手术的患者。主要组由70例患者组成（使用所提出的方法进行剖腹手术关闭（俄罗斯联邦专利号2644846，日期为2018年2月14日））。对照组采用间断缝合进行腱膜缝合。
结果
两组剖腹手术关闭时间相似。术后1年，主要组5例（8%）患者发生术后腹疝，对照组11例（18%）患者发生术后腹疝。
结论
所提出的剖腹术后腱膜缝合方法学生能够掌握，是预防术后腹疝和腹壁疝的有效方法。
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