Krähenbühl L, Frei E
Chirurgische Klinik, Zieglerspital Bern.
Schweiz Med Wochenschr. 1995 Jul 1;125(26):1279-85.
From November 1992 to March 1994 we performed 100 transabdominal laparoscopic herniographies in 84 patients. The mean age was 54.6 years. 83% of all hernias were primary, 17% recurrent and 16% bilateral. All hernias were classified according to Nyhus and individually repaired. Except in type 2 hernias, a large polypropylene mesh was inserted (15 x 12 cm) and the peritoneum closed with a running suture. During a mean follow-up time of 14 months no recurrent hernias, infections or bowel adhesions were observed. The mean postoperative hospital stay was 4.1 days and the mean time off work 16.4 days. Intraoperative complications were found in 11.9%, early postoperative complications in 25% and late postoperative complications in 3.6%.
1992年11月至1994年3月，我们对84例患者实施了100例经腹腹腔镜疝造影术。平均年龄为54.6岁。所有疝中83%为原发性，17%为复发性，16%为双侧性。所有疝均根据Nyhus分类并分别进行修补。除2型疝外，均置入一块大的聚丙烯补片（15×12 cm），并用连续缝合法关闭腹膜。在平均14个月的随访期内，未观察到复发性疝、感染或肠粘连。术后平均住院时间为4.1天，平均误工时间为16.4天。术中并发症发生率为11.9%，术后早期并发症发生率为25%，术后晚期并发症发生率为3.6%。
