Tsimoyiannis E C, Tassis A, Glantzounis G, Jabarin M, Siakas P, Tzourou H
Department of Surgery, G. Hatzikosta General Hospital, Ioannina, Greece.
Surg Laparosc Endosc. 1998 Oct;8(5):360-2.
Improvements in laparoscopic techniques and equipment have engendered many new intraabdominal procedures. Laparoscopic hernioplasty was used in 11 patients with 12 incisional abdominal hernias. All repairs were made with an intraperitoneal onlay patch of expanded polytef Gore-Tex DualMesh Biomaterial. The patch was secured by whole-thickness sutures, tied subcutaneously through stab holes, and staples between the sutures to cover the hernia defect without excision of the hernia sac. There were three postoperative complications: one seroma, one hematoma, and one infection. These complications successfully healed without reoperation. No recurrence was observed during a follow-up of 8-21 months (average 15 months). It is concluded that laparoscopic incisional hernioplasty using the new Gore-Tex DualMesh Biomaterial, which is securely sutured and stapled on the abdominal wall, is a promising minimally invasive procedure. Continued follow-up is necessary to determine the long-term results.
腹腔镜技术和设备的改进催生了许多新的腹腔内手术。11例患有12处腹部切口疝的患者接受了腹腔镜疝修补术。所有修补均采用腹膜内覆盖的膨体聚四氟乙烯戈尔泰克斯双网生物材料补片。补片通过全层缝合固定，经戳孔在皮下打结，并在缝线间使用吻合器覆盖疝缺损，未切除疝囊。术后出现3例并发症：1例血清肿、1例血肿和1例感染。这些并发症均成功愈合，无需再次手术。在8至21个月（平均15个月）的随访中未观察到复发。结论是，使用新型戈尔泰克斯双网生物材料进行腹腔镜切口疝修补术，该材料在腹壁上牢固缝合和吻合，是一种有前景的微创手术。需要持续随访以确定长期效果。
