Winslet M C, Kumar V, Obeid M L
Department of Surgery, Dudley Road Hospital, Birmingham.
Ann R Coll Surg Engl. 1993 May;75(3):186-8.
'On-table' pneumoperitoneum before repair of 'complicated' incisional hernias has been used in eight patients considered to be at high risk of recurrence. In four patients the procedure revealed the presence of occult defects. The procedure was uncomplicated and a primary repair without the need for a prosthetic implant was possible in all cases. Six patients remain well with no sign of recurrence at a median follow-up of 96 months (range 22-120 months). Two patients died from conditions unrelated to the method of repair; acute necrotising pancreatitis on the 10th postoperative day and lobar pneumonia 2 months postoperatively. Peroperative pneumoperitoneum is a simple procedure which obviates the need for a prosthetic implant in selected patients. It is therefore particularly useful in the management of incisional hernias associated with sepsis, stomas or in patients requiring synchronous bowel resection.
在修复“复杂”切口疝之前，对8例被认为复发风险高的患者采用了术中气腹术。4例患者的手术发现存在隐匿性缺损。该手术操作简单，所有病例均可行无需假体植入的一期修复。6例患者情况良好，中位随访96个月（范围22 - 120个月）无复发迹象。2例患者死于与修复方法无关的疾病：术后第10天急性坏死性胰腺炎和术后2个月大叶性肺炎。术中气腹术是一种简单的手术，可避免在部分患者中使用假体植入。因此，它在处理与脓毒症、造口相关的切口疝或需要同期肠切除的患者中特别有用。
