Minimally invasive incisional herniorrhaphy: a review of 208 cases.
Minimally invasive incisional herniorrhaphy: a review of 208 cases.
复制标题
微创切口疝修补术：208 例回顾。
DOI：
10.1007/s00464-004-8105-9
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Moore,RE
中科院分区：
文献类型：
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作者：
Frantzides,CT;Carlson,MA;Zografakis,JG;Madan,AK;Moore,RE
背景微创切口疝修补术已成为一种公认的切口疝治疗方法。然而，这种手术的理想技术尚不清楚。作者介绍了他们的技术和个人经验，微创切口疝hernorrhaphy.MethodsA回顾性分析研究了208例连续谁进行了微创切口疝修补术的监督下，一个单一的外科医生在1995年和2002.ResultsA腹膜内补片修复在所有情况下进行。没有人改变信仰。手术时间0.8-4.5 h，平均2.1 h。平均住院时间为2.5天（范围，0-13天）。有六个并发症，包括两个肠穿孔，和零死亡率。有三个复发在随访期间，范围从6至72个月（中位数，24个月）。ConclusionsMinimally invasive切口疝修补术产生了一个可接受的发病率和复发率在随访期间。其结果优于开放切口疝修补术。尽管需要长期随访评价，但数据支持微创入路是切口疝的适当选择的论点。
BackgroundMinimally invasive incisional herniorrhaphy has become an accepted approach for incisional hernia. However, the ideal technique for this procedure is not known. The authors present their technique and personal experience with minimally invasive incisional herniorrhaphy.MethodsA retrospective review investigated 208 consecutive patients who underwent minimally invasive incisional hernia repair under the supervision of a single surgeon between 1995 and 2002.ResultsAn intraperitoneal mesh repair was performed in all cases. There were no conversions. The mean operative time was 2.1 h (range, 0.8–4.5 h). The mean length of hospital stay was 2.5 days (range, 0–13 days). There were six complications, including two bowel perforations, and zero mortality. There were three recurrences during the follow-up period, which ranged from 6 to 72 months (median, 24 months).ConclusionsMinimally invasive incisional herniorrhaphy yielded an acceptable morbidity and recurrence rate during the follow-up period. The outcome compares favorably with that for open incisional hernia repair. Although long-term follow-up evaluation is desirable, the data support the contention that the minimally invasive approach is an appropriate option for incisional hernia.