Laparoscopic treatment vs open surgery in the solution of major incisional and abdominal wall hernias with mesh
Laparoscopic treatment vs open surgery in the solution of major incisional and abdominal wall hernias with mesh
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DOI：
10.1007/s004649900956
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发表时间：
1999-03-01
期刊：
影响因子：
--
通讯作者：
Inglada, L
中科院分区：
文献类型：
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作者：
Carbajo, MA;del Olmo, JCM;Inglada, L
背景资料：尽管是一个最准确的适应症，腹腔镜治疗eventrations和腹疝是几乎不知道的阵列中的腹腔镜technology.Methods：共60例患者被随机分配到两个均匀的组在3年内进行手术的主要腹疝与网片。其中一半是在腹腔镜手术，其余与开放手术。早期和长期的并发症进行了分析，手术时间和术后住院stays.Results：两组是同质的人口统计学和临床特征。腹腔镜手术组的术后和长期并发症发生率较低;同样，手术时间明显缩短。住院时间也明显低于传统开放手术组（p < 0.05）（p < 0.05）。腹腔镜治疗术后疝出和原发性腹壁疝可降低并发症和复发率，消除补片感染导致的再次干预，减少了手术时间，大大缩短了住院时间。
Background: Despite being one of the most exact indications, laparoscopic treatment of eventrations and ventral hernias is barely known among the array of laparoscopic-techniques.Methods: A total of 60 patients were assigned at random over a 3-year period to two homogeneous groups to be operated on for major ventral hernias with mesh. Half of them were operated upon laparoscopically and the rest with open surgery. Early and longer-term complications were analyzed, as were operative time and postoperative hospital stays.Results: The two groups were homogeneous in terms of demographic and clinical characteristics. The group that was operated on laparoscopically presented a lower rate of postoperative and longer-term complications; similarly, surgery rime was significantly Tower (p < 0.05), Hospitalization time was also significant lower than in the group undergoing conventional open surgery (p < 0.05).Conclusions: Laparoscopic treatment of postoperative eventration and primary ventral hernia reduces complications and relapse rates, eliminates reintervention through mesh infection, reduces operative time, and considerably shortens the hospital stay.