摘要
目的探讨腹腔镜下应用补片修补腹壁切口疝的手术方法及临床效果。方法回顾性分析41例腹壁切口疝行腹腔镜下补片修补术患者的临床资料。结果38例均顺利完成手术,3例中转开腹。手术时间78～186min,平均95min。术后疼痛轻微,术后排便、排气时间25～41h,平均32h。术后第2d进食。术后住院5～7d,平均6d。41例随访6～16个月,平均9个月,未见疝复发。结论腹腔镜下采用复合补片修补腹壁切口疝是一种安全、有效的方法,值得临床推广应用。
Objective To study the clinical effect of laparoscopic repair of abdominal incision hernia. Methods The clinical data of 41 abdominal incision hernia patients undergone laparoscopie repair were retrospectively analyzed. Results The operation was successfully performed for 38 cases, and 3 cases were conversed to open. Operative time ranged from 78 to 186 minutes, with an average of 95 minutes. Pain was minor after operation. The first flatus and defecation ranged from 25 to 41 hours, with an average of 32 hours. Food intake started on day 2 after operation. The average length of hospitalization was 6 days （range 5-7 days）. After a mean follow-up of 9 （6-16） months, no incision hernia occurred. Conclusion Laparoscopic abdominal incision repair with composite patch is a safe and effective method, which is worthy of clinical application.
出处
《中国普外基础与临床杂志》
CAS
2009年第2期108-110,共3页
Chinese Journal of Bases and Clinics In General Surgery
关键词
切口疝
补片
疝修补术
腹腔镜
Incisional hernia
Patch
Hernia repair
Laparoscope
