四川医学Issue(11)：1562-1564,3.DOI:10.16252/j.cnki.issn1004-0501-2015.11.022
腹腔镜腹壁切口疝无张力修补术21例回顾
Laparoscopic Tension-free Hernioplasty for Abdominal Wall Incisional Hernia:A Review of 21 Cases
李由 1冷蔚1
作者信息
- 1. 自贡市第一人民医院普外科，四川 自贡 643000
- 折叠
摘要
Abstract
Objective To investigate the effectiveness and security of laparoscopic tension-free hernioplasty for abdominal wall incisional hernia. Methods The clinical data of 21 patients with abdominal ineisional hernia who underwent laparoscopic tension-free hernioplasty from Feb 2008 to May 2014 were analyzed retrospectively. Results The operation of 21 patients (100% )were conducted successfully,while 2 cases were converted to open surgery because of extensively intraperitoneal adhesion (1 case)and dense adhesion between bowel and incision(1 case). The operation duration was 58 ~ 172 min(average 105 min). Postoperative hospital stay was 8 to 13 d(average 9. 2 d). Abdominal wall pain occurred in 16 patients(76. 19% ),and no compli-cation of chronic pain was found,seroma occurred in 8 patients(38. 09% ). No death, intestinal fistula,incision or mesh infection occurred postoperatively. No recurrence occurred after 5 to 50 months(average l4 months)follow-up. Conclusion Laparoscopic tension-free hernioplasty for abdominal wall incisional hernia has the advantages of reliable curative effect,less trauma,quicker re-covery and fewer complications.关键词
切口疝/腹腔镜/疝修补术Key words
incisional hernia/laparoscopes/herniorrhaphy分类
医药卫生引用本文复制引用
李由,冷蔚..腹腔镜腹壁切口疝无张力修补术21例回顾[J].四川医学,2015,(11):1562-1564,3.
