Krug F, Herold A, Wenk H, Bruch H P
Klinik für Chirurgie, Medizinische Universität zu Lübeck.
Chirurg. 1995 Apr;66(4):419-23.
The importance of the complication incisional hernia after laparoscopic surgery was determined by analyzing our own cases and extensive review of the literature. The data recorded give its incidence as 1 in 550 cases. The most frequent event was intestinal incarceration with a high portion of Richter's hernias. To avoid postlaparoscopic hernias the important step is suturing the fascia when the trocar diameter exceeds 5 mm. When external suturing of the fascia is impossible, the laparoscopic technique using the Reverdin needle is a sufficient procedure for fascial closure after minimally invasive surgery.
通过分析我们自己的病例并广泛查阅文献，确定了腹腔镜手术后切口疝并发症的重要性。记录的数据显示其发生率为550例中有1例。最常见的情况是肠管嵌顿，其中里氏疝占很大比例。为避免腹腔镜术后疝的发生，当套管针直径超过5mm时，重要的步骤是缝合筋膜。当无法进行筋膜的外部缝合时，使用雷维尔丹针的腹腔镜技术是微创手术后筋膜闭合的一种充分方法。
