腹腔镜下腹膜疝修补术。

Laparoscopic Ventral Hernia Repair.

机构信息

Department of Surgery, Division of General Surgery, University of Washington, 1959 Northeast Pacific Street, Box 356410, Seattle, WA 98195, USA.

出版信息

Surg Clin North Am. 2023 Oct;103(5):947-960. doi: 10.1016/j.suc.2023.05.009. Epub 2023 Jul 12.

DOI:10.1016/j.suc.2023.05.009

PMID:37709398

Abstract

The laparoscopic approach to ventral hernia repair is a safe and effective approach for both elective and emergent repair. The preoperative technical considerations include assessment of incarceration and potential for extensive adhesiolysis, size of defect, and atypical hernia locations. Preoperative considerations include weight loss and lifestyle modification. There are multiple methods of fascial defect closure and mesh fixation that the surgeon may consider via a laparoscopic approach, making it adaptable to varying clinical scenarios and anatomic challenges. Compared with open repair laparoscopic repair is associated with reduced surgical wound site infection, and compared with robotic repair outcomes are similar.

摘要

腹腔镜下腹膜疝修补术是一种安全有效的方法，适用于择期和紧急修复。术前技术考虑因素包括嵌顿和广泛粘连松解的可能性、缺损大小和非典型疝位置的评估。术前考虑因素包括减肥和生活方式的改变。外科医生可以通过腹腔镜方法考虑多种筋膜缺损闭合和网片固定方法，使其适应不同的临床情况和解剖挑战。与开放修复相比，腹腔镜修复与减少手术部位感染相关，与机器人修复相比，结果相似。