基于开放和腹腔镜技术,对超轻型、不可吸收的Optomesh® ULTRALIGHT手术补片用于疝手术治疗的有效性和安全性进行评估——一项回顾性分析。

Evaluation of the effectiveness and safety of the ultralight, non-resorbable Optomesh® ULTRALIGHT surgical meshes for surgical treatment of hernias based on open and laparoscopic techniques - a retrospective analysis.

作者信息

Włodarczyk Marcin, Dziki Łukasz, Bilińska Inez, Szpunar Jarosław, Konopka Krzysztof, Kasprzak Piotr, Tokarska Magdalena, Kraj Agata, Łąpieś Paulina, Sujka Witold

机构信息

Department of General and Oncological Surgery, Faculty of Medicine, Medical University of Lodz, Pomorska Str 251, Lodz, 92-213, Poland.

Jan Pawel II Municipal Hospital, Rycerska 4, Rzeszow, 35-241, Poland.

出版信息

Hernia. 2025 Jun 27;29(1):216. doi: 10.1007/s10029-025-03398-5.

Abstract

BACKGROUND

According to global data, hernia surgery is the most commonly performed elective surgical procedure. The primary factor that can lead to the development of a hernia is weakening of the abdominal wall. The only effective method of treating hernias, regardless of their type, is surgery. In the following clinical study, a retrospective - prospective analysis was performed. The aim of the study was to determine, based on open and laparoscopic techniques, the effectiveness and safety of Optomesh ULTRALIGHT surgical meshes made from cuts of stabilized monofilament polypropylene knit fabric recommended for reconstructive surgical procedures to fill and/or strengthen soft tissue defects in the treatment of various types of hernias.

METHODS

The study included 171 patients, aged 22 to 70 years, who met the inclusion and exclusion criteria specified in the clinical trial plan, including 20 women and 151 men. During surgery, the vast majority of hernias were operated using the Lichtenstein surgical technique (132 patients). The other operations were performed using the Rives-Stoppa technique (23) and laparoscopic TAPP, TEP technique (16).

RESULTS

The results were collected from intraoperative data and data collected during 2 follow-up visits after the procedure. The presented data collected during interviews with patients concern the frequency of recurrences, pain sensation in the first days after the procedure, discomfort associated with mesh implantation and pain sensation according to the VAS scale. These parameters will help to assess the therapeutic value of this type of implants intended for surgical treatment of hernias. Interviews at the second follow-up visit confirmed the patients' long-term, satisfactory reception in terms of comfort and average pain sensation.

CONCLUSIONS

The Optomesh ULTRALIGHT implant is not only effective and safe but also imperceptible to the patients.

摘要

背景

根据全球数据,疝气手术是最常进行的择期外科手术。导致疝气形成的主要因素是腹壁薄弱。无论疝气类型如何,治疗疝气的唯一有效方法是手术。在以下临床研究中,进行了回顾性 - 前瞻性分析。该研究的目的是基于开放和腹腔镜技术,确定由稳定的单丝聚丙烯针织织物裁剪制成的Optomesh ULTRALIGHT外科补片在治疗各种类型疝气时用于填充和/或加强软组织缺损的重建手术中的有效性和安全性。

方法

该研究纳入了171名年龄在22至70岁之间、符合临床试验计划中规定的纳入和排除标准的患者,其中包括20名女性和151名男性。在手术过程中,绝大多数疝气采用李金斯坦手术技术进行操作(132例患者)。其他手术采用里夫斯 - 斯托帕技术(23例)和腹腔镜经腹腹膜前修补术、全腹膜外腹腔镜疝修补术(16例)。

结果

结果从术中数据以及术后两次随访收集的数据中获取。在与患者访谈期间收集的呈现数据涉及复发频率、术后首日的疼痛感觉、与补片植入相关的不适以及根据视觉模拟评分法(VAS)的疼痛感觉。这些参数将有助于评估这类用于疝气手术治疗的植入物的治疗价值。第二次随访时的访谈证实了患者在舒适度和平均疼痛感觉方面的长期满意接受情况。

结论

Optomesh ULTRALIGHT植入物不仅有效且安全,而且患者几乎感觉不到。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4023/12204886/2b3f9fb8e0d3/10029_2025_3398_Fig1_HTML.jpg

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