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[人工合成补片植入后复发性疝的腹腔镜手术(35例)]

[Laparoscopic surgery of recurrent hernias after prosthesis (35 cases)].

作者信息

Cady J, Godfroy J, Sibaud O, Kron C

出版信息

Chirurgie. 1997;122(10):539-43; discussion 543-4.

PMID:9616902
Abstract

We report 35 cases of laparoscopic repair after prosthesis surgery using the classic open technique (19 cases) or laparoscopic technique (16 cases). Most difficulties were observed after intraperitoneal laparoscopy. Hernia repair was preferentially intrapreperitoneal (31 cases). Post-operative morbidity was low with two cases of serohematic effusion treated by puncture. Mean hospital stay was 2.5 days. Patients returned to normal activity within 7 days but work stoppage in active patients depended more on patient motivation than the initial surgical procedure. There were no reiterative recurrences although follow-up is too short (mean 21.2 months) for definitive results.

摘要

我们报告了35例假体手术后采用经典开放技术(19例)或腹腔镜技术(16例)进行腹腔镜修复的病例。大多数困难出现在腹膜内腹腔镜检查后。疝修补术优先采用腹膜内修补(31例)。术后发病率较低,有2例血清血性积液经穿刺治疗。平均住院时间为2.5天。患者在7天内恢复正常活动,但活跃患者的工作停顿更多取决于患者的积极性而非初始手术方式。尽管随访时间太短(平均21.2个月),无法得出确切结果,但未出现复发性复发。

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