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使用正丁基-2-氰基丙烯酸酯(LiquiBandFIX8)进行腹腔镜经腹腹膜前(TAPP)腹股沟疝修补术用于补片固定和腹膜关闭:关于腹膜外血肿的病例报告

Laparoscopic transabdominal preperitoneal (TAPP) groin hernia repair using n-butyl-2-cyanoacrylate (LiquiBandFIX8) for mesh fixation and peritoneal closure: case report about extraperitoneal hematoma.

作者信息

Raab Sandra, Huber Livia, Fortelny René, Shamiyeh Andreas

机构信息

Department of General and Visceral Surgery, Kepler University Hospital.

Johannes Kepler University, Linz.

出版信息

Ann Med Surg (Lond). 2023 Nov 7;86(1):481-484. doi: 10.1097/MS9.0000000000001439. eCollection 2024 Jan.

Abstract

INTRODUCTION

A symptomatic inguinal hernia is a prevalent condition that typically requires surgical intervention. Various surgical approaches have been established for hernia repair, including several techniques for peritoneal closure and mesh fixation in laparoscopic surgery. N-butyl-2-cyanoacrylate, such as LiquiBandFIX8, offers a time-saving alternative to invasive methods for both mesh fixation and peritoneal closure. While n-butyl-2-cyanoacrylate is employed in various closure procedures, LiquiBandFIX8 is specifically designed for mesh fixation in inguinal hernia repair.

CASE PRESENTATION

We present a case of a 68-year old man undergoing transabdominal preperitoneal inguinal hernia repair under full heparinization. LiquiBandFIX8 was employed for mesh fixation and peritoneal closure. Upon conducting a revision laparoscopy due to a significant postoperative hematoma, we found that the mesh and peritoneum remained undamaged and fully sealed, indicating an effective fixing technique. Both the initial repair and the subsequent revision surgery were documented and the videos were subsequently analyzed.

CONCLUSION

LiquiBandFIX8 provides a reliable adhesive strength and appropriate application for peritoneal closure and mesh fixation. When encountering extraperitoneal fluid collection, there is no anticipation of intraabdominal complications.

摘要

引言

有症状的腹股沟疝是一种常见疾病,通常需要手术干预。已确立了多种用于疝修补的手术方法,包括腹腔镜手术中几种腹膜关闭和补片固定技术。正丁基-2-氰基丙烯酸酯,如LiquiBandFIX8,为补片固定和腹膜关闭的侵入性方法提供了一种节省时间的替代方案。虽然正丁基-2-氰基丙烯酸酯用于各种关闭手术,但LiquiBandFIX8是专门为腹股沟疝修补中的补片固定而设计的。

病例介绍

我们报告一例68岁男性患者,在全身肝素化下行经腹腹膜前腹股沟疝修补术。使用LiquiBandFIX8进行补片固定和腹膜关闭。由于术后出现大量血肿而进行腹腔镜复查时,我们发现补片和腹膜未受损且完全密封,表明该固定技术有效。记录了初次修补和随后的翻修手术,并对视频进行了分析。

结论

LiquiBandFIX8为腹膜关闭和补片固定提供了可靠的黏附强度和合适的应用。遇到腹膜外积液时,不会预期发生腹腔内并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4696/10783228/5c9e18a610cc/ms9-86-481-g001.jpg

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