Minimally invasive ventral herniorrhaphy: an analysis of 6,266 published cases.

Minimally invasive ventral herniorrhaphy: an analysis of 6,266 published cases.
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微创腹侧疝修补术:对 6,266 例已发表病例的分析。

DOI:
10.1007/s10029-007-0286-4
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发表时间:
2008
期刊:
Hernia : the journal of hernias and abdominal wall surgery
影响因子:
--
通讯作者:
Laguna,LE
Laguna,LE
中科院分区:
--
文献类型:
--
作者:
Carlson,MA;Frantzides,CT;Shostrom,VK;Laguna,LE

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在美国,每年有超过300,000例腹壁腹壁疝气被修复;其中许多手术都是通过微创方法完成的。方法回顾6000多例已发表的微创腹股沟修补术病例,以确定该手术的主要结果统计。结果平均随访时间为20个月。手术死亡率为0.1%。平均复发率(加权)为2.7%,主要并发症(主要是肠损伤和感染)发生率为3%。结论已发表的微创腹股沟修补术病例的结果与开放腹股沟修补术的历史结果具有竞争性。这篇综述的主要警告是,大多数数据是(1)回顾/不受控制的,(2)从专门的中心获得的。
BackgroundOver 300,000 ventral abdominal wall hernias are repaired each year in the United States; many of these operations are done with a minimally invasive approach. Despite these numbers, there are few controlled data that evaluate the minimally invasive method of ventral hernia repair.MethodsA review of over 6,000 published cases of minimally invasive ventral herniorrhaphy was performed in order to determine major outcome statistics for this procedure.ResultsThe mean follow-up period was 20 months. The operative mortality was 0.1%. The mean recurrence rate (weighted) was 2.7%, and the major complication rate (mostly bowel injury and infection) was 3%.ConclusionThe results from published cases of minimally invasive ventral herniorrhaphy appear to be competitive with the historical results of open ventral herniorrhaphy. The major caveats of this review are that most of the data are (1) retrospective/uncontrolled and (2) obtained from specialized centers.
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