在门诊环境中，通过开放缝合修补术和开放缝合补片修补术进行脐部套管针疝修补术，并与复发性和原发性脐疝修补术进行比较。
Trocar umbilical hernia repair by open suture repair and open suture-mesh repair in an ambulatory setting in comparison to recurrent and primary umbilical hernia repair.
作者信息
Holzheimer René G, Gaschütz Nikolai
机构信息
Clinic for Day Surgery, Sauerlach/LMU München, Sauerlach/München Süd, Germany.
Family Practitioner, Ebelsbach, Germany.
出版信息
J Surg Case Rep. 2020 Sep 2;2020(9):rjaa270. doi: 10.1093/jscr/rjaa270. eCollection 2020 Sep.
Reports on the ambulatory open repair of umbilical trocal hernias are missing. Patients with trocar, primary and recurrent umbilical hernia open suture and open suture-mesh repair with prospective follow-up were retrospectively evaluated. Patients received perioperative antibiotic prophylaxis, preemptive analgesia and modified anesthesia. In total, 171 patients with umbilical hernia (51 years, female 14%; male 86%) were treated with open suture ( = 29; 17%) and suture-mesh ( = 142; 83%) repair. In total, 10% of patients were treated for trocar hernia (late onset), 5% for recurrent hernia and 85% for a primary umbilical hernia. In total, 29% of trocar hernia repairs had minor complications associated with obesity (40%) and comorbidity (80%). Age, suture and suture-mesh repair were not associated with complications. According to guidelines for umbilical hernia repair open flat mesh may be useful in the treatment of trocar hernia.
关于脐套管疝门诊开放修补术的报告尚缺。对接受套管、原发性和复发性脐疝开放缝合及开放缝合-补片修补术并进行前瞻性随访的患者进行回顾性评估。患者接受围手术期抗生素预防、超前镇痛和改良麻醉。共有171例脐疝患者（51岁，女性占14%；男性占86%）接受了开放缝合（n = 29；17%）和缝合-补片（n = 142；83%）修补术。共有10%的患者接受了套管疝（迟发性）治疗，5%接受了复发性疝治疗，85%接受了原发性脐疝治疗。共有29%的套管疝修补术出现与肥胖（40%）和合并症（80%）相关的轻微并发症。年龄、缝合及缝合-补片修补术与并发症无关。根据脐疝修补术指南，开放平片补片可能对套管疝的治疗有用。
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