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Lichtenstein inguinal hernia repairs with porcine small intestine submucosa: a 5- year follow-up. a prospective randomized controlled study 被引量:9
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作者 Baoshan Li Xin Zhang +5 位作者 Yi Man Jiadong Xie Wei Hu Huang Huang Yinlong Wang Hongguang Ma 《Regenerative Biomaterials》 SCIE 2021年第1期124-128,共5页
Porcine small intestine submucosa(SIS)biologic patch has been used in inguinal hernia repair.However,there are lttle data available to assess the long-term effect after repair.This study aimed to explore the long-term... Porcine small intestine submucosa(SIS)biologic patch has been used in inguinal hernia repair.However,there are lttle data available to assess the long-term effect after repair.This study aimed to explore the long-term effect of SIS patch in open inguinal hernia repair.Sevent-six patients with unilateral inguinal hernia were treated with Lichtenstein tension-free hernia repair using SIS patch(Beijing Datsing Bio-Tech Co,Ltd.)and Surgisis patch(COOK,USA)in Tianjn Union Medical Center and China-Japan Friendship Hospital.In the trial,the long-term efficacy of the treatment group and the control group were compared.A total of 66 patients in both groups received long-term follow-up(>5years)after surgery,with a followup rate of 86.8%.During the follow-up period,there was one case of recurrence,one case of chronic pain in the control group.There was no statistically significant difference(P>0.05)in terms of recurrence,chronic pain,foreign body sensation and infection between the two groups of patients.After long-term observations,it has been found that the porcine small intestinal submucosa(SIS)biological patch is safe and effective for inguinal hernia Lichtenstein repair,and has a low recurrence rate and complication rate. 展开更多
关键词 inguin al hernia Lic htenstein SIS Biological patch rec urence infection chronic pain
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腹腔镜下经腹腹膜前疝修复术治疗复发性腹股沟疝的效果及对患者应激反应的影响 被引量:3
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作者 李晓峰 黄懿华 +1 位作者 林海 邱志泽 《中外医疗》 2019年第35期46-48,共3页
目的探讨腹腔镜下经腹腹膜前疝修复术(TAPP)治疗复发性腹股沟疝的效果及对患者应激反应的影响。方法方便选取该院2015年3月—2018年3月复发性腹股沟疝患者50例,随机数字法分为对照组(平片无张力疝修补术,25例)与观察组(TAPP,25例);比较... 目的探讨腹腔镜下经腹腹膜前疝修复术(TAPP)治疗复发性腹股沟疝的效果及对患者应激反应的影响。方法方便选取该院2015年3月—2018年3月复发性腹股沟疝患者50例,随机数字法分为对照组(平片无张力疝修补术,25例)与观察组(TAPP,25例);比较两组患者围手术期指标水平、应激反应指标水平及术后并发症情况。结果观察组手术时间(41.89±4.09)min、住院时间(2.89±0.67)d及术后下床活动时间(6.15±1.09)h明显短于对照手术时间(56.01±7.12)min、住院时间(5.13±1.06)d、及术后下床活动时间(11.78±2.12)h,观察手术费用(7853.72±523.11)元显著高于对照组(4632.01±316.12)元,比较差异有统计学意义(t=10.027、10.416、13.771、-30.735,P<0.05);术后第3天,对照组组患者皮质醇(734.55±89.81)nmol/L、胰岛素(12.63±3.45)mIU/L、IL-6(45.02±7.22)ng/L均高于观察组皮质醇(589.52±42.43)nmol/L、胰岛素(8.03±2.37)mIU/L、IL-6(38.54±4.17)ng/L,比较差异有统计学意义(t=8.514、6.408、4.532,P<0.05);随访6个月,观察组术后感染、尿潴留、腹股沟异物感、慢性疼痛及疝复发总发生率较对照组显著降低(χ^2=4.500,P=0.034)。结论腹腔镜下经腹腹膜前疝修复术治疗复发性腹股沟疝能改善预后、促进病情恢复,减轻机体应激反应,并降低并发症的发生。 展开更多
关键词 TAPP 平片无张力疝修补术 反复性腹股沟疝 临床效果 应激反应
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