摘要
目的探讨腹腔镜辅助小切口,应用防粘连补片修补巨大切口疝的技术要点与可行性。方法总结无锡市第三人民医院2008年3月至2011年10月以该法完成手术的11例巨大切口疝患者的临床经验与体会,重点对术前准备、术中操作、术后管理等环节进行探索研究。结果本组11例患者手术均成功,手术时间平均(115±35)min。术后血清肿1例,经穿刺加压包扎2周吸收,手术区腹壁疼痛持续2个月以上2例,6个月左右缓解。术后平均住院(12±3)d,无切口感染、肠梗阻、肠瘘、死亡等发生,随访6个月至4年,无复发。结论腹腔镜辅助小切口防粘连补片修补巨大切口疝安全可行,具有直视下分离肠管粘连减少损伤,缩小或封闭疝环的同时修复腹壁缺损与重塑外形,降低术后发生血清肿、术区腹壁疼痛、疝复发等优点。
Objective To explore the technical points and feasibility of laparoscopic-assisted small incision and application of anti-adhesion patch repair. Methods The clinical practice and experience from 11 patients with giant ineisional hernia from March 2008 to Oetober 2011 were summarized. Preoperative preparation, operation practice, and postoperative management were focused to investigate. Results All the cases were successful. The mean operation time was （115 ＋ 35 ） minutes. One ease of postoperative seroma was found and recovered after puncture was banded for 2 weeks. The pain in the surgical area of abdominal wall lasted two weeks in 2 eases and recovered after 6 months. The mean hospital stay was （ 12 ~ 3 ） days. No incisional infection, intestinal obstruction, intestinal fistula, and death were observed. In the follow-up after 6 months to 4 years,no recurrence was occurred. Conclusions Laparoseopic-assisted small incision patch re- pair and giant incisional hernia are safe and feasible. It owns the advantages of separation of bowel adhesions with less damage, reduction or close of hernia ring repair and reshape of appearance, reduction of postopera- tive seroma, pains in the surgical area of abdominal wall, and recurrenee of hernias.
出处
《中华疝和腹壁外科杂志（电子版）》
2013年第1期60-62,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹
腹腔镜
外科手术
Hernia, ventral
Laparoseopes
Surgical procedures, operative
