共查询到12条相似文献,搜索用时 15 毫秒
1.
Incisional hernia—comparison of mesh repair with Cardiff repair: an university hospital experience 总被引:1,自引:0,他引:1
Background: Incisional hernia is a frequent complication of abdominal surgery. Various types of repair are recommended for incisional
hernia. Suture and mesh repair are compared in the present study. Method: One hundred seventy one patients with incisional hernia underwent Cardiff repair (far and near sutures with reinforcement
sutures) which was used as an open suture repair while onlay polypropylene mesh was used in the mesh repair technique. Result: Cardiff repair was performed in 116 patients with no mortality with recurrence in two patients with mean follow up of 7.1 years.
Both these patients with recurrence had a defect measuring more than 10 cm in width. Mesh repair was carried out in 55 patients
with no recurrence in mean follow up of 37 months. Seroma formation was noted in 7 (12.72%) with mesh repair as compared to
4 (3.44%) patients with Cardiff repair. Conclusion: We recommend Cardiff repair for primary and small to medium size incisional hernias. Onlay polypropylene mesh is ideal for
tension-free hernia repair, recurrent incisional hernia and hernia defects wider than 10 cm. 相似文献
2.
应用合成补片修补腹壁切口疝的经验总结 总被引:1,自引:0,他引:1
目的:探讨腹壁切口疝病人的无张力手术治疗方法和疗效.方法:回顾性分析我院2000年7月至2008年6月间收治的215例应用合成补片修补腹壁切口疝病人的临床资料.结果:215例中101例采用IPOM方法,有1例复发,复发率0.99%;97例采用Stoppa方法,有3例复发,复发率3.09%;17例采用肌前修补法,有3例复发,复发率17.6%.在21例复发疝病人中,16例采用了IPOM方法,无再复发病例;5例采用了Stoppa方法,有1例再复发,复发率20%.结论:IPOM方法和Stoppa方法的手术适应症宽、复发率低.IPOM方法对于复发的切口疝病人有更好的治疗效果.术者的经验和方法的正确性对修补的成功均有重要意义. 相似文献
3.
Once thought of as a long-term solution to pelvic organ prolapse, currently synthetic mesh augmentation is regarded as a dark area that is being critically assessed by surgeons, hospitals, industry, and most importantly the Food and Drug Administration. The development of midurethral sling kits has revolutionized the surgical treatment of stress incontinence. These systems, however, were not rigorously tested but instead marketed after being cleared by the Food and Drug Administration through a simple regulatory process using a previously approved predescent material. This article reviews the management of mesh complications of synthetic slings and mesh used to augment prolapse repair. 相似文献
4.
目的总结造口旁疝应用Keyhole补片及超普平片进行疝修补术的疗效。
方法回顾性分析2005年1月至2018年4月,上海交通大学附属第六人民医院采用Keyhole补片及超普平片对38例造口旁疝患者行疝修补术治疗的临床资料。
结果38例造口旁疝患者均采用置入补片的疝修补术实施修补。其中15例行开放手术,6例行纯腔镜下腹膜内补片植入手术,5例行开放结合腔镜的杂交手术,12例行Lap-re-Do手术。手术时间40~300 min,平均(150±72)min。全部随访时间2~46个月,其中造口旁疝复发2例(缝合疝环、补片加固),浆液肿4例,切口感染3例,造口肠管血运轻度障碍1例,均处理痊愈。
结论造口旁疝应积极应用补片行疝修补手术,疗效可靠。术式需根据术前仔细评估和术中情况做相应选择。 相似文献
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6.
Late complication of open inguinal hernia repair: Small bowel obstruction caused by intraperitoneal mesh migration 总被引:3,自引:3,他引:0
We describe a case of small bowel obstruction due to prosthetic mesh migration. A 67-year-old male, who had undergone prosthetic
repair of inguinal hernia 3 years before, was admitted for a mechanical small bowel obstruction. Laparotomy revealed the penultimate
ileal loop choked by an adhesion drawing it towards a polypropylene mesh, firmly attached to the parietal peritoneum of the
inguinal region. The intestinal loop was released; the mesh was embedded deep with continuous whip suture after folding the
parietal peritoneum. The patient was dismissed on the 11th postoperative day surgically healed. The "tension-free" technique
is undoubtedly the gold standard for hernia repair. However, it is not free of complications, mostly due to technical errors,
of which the surgeon must be aware, both when he is responsible for correcting defects in the wall, as well as when he has
to face an occlusion in a patient who has undergone plastic surgery for inguinal hernia. 相似文献
7.
裁剪式双层prolene网片在老年腹股沟疝无张力修补术中的应用 总被引:4,自引:0,他引:4
目的 探讨裁剪式双层prolene网片在老年腹股沟疝无张力修补术中的临床应用价值。方法 对1997年7月至2005年7月应用裁剪式双层prolene网片行老年腹股沟疝无张力修补术56例的临床资料进行回顾性分析。结果 56例中,原发性腹股沟疝19例(33.9%),复发性腹股沟疝37例(66.1%)。巨大疝环12例(21.4%),伴发其他疾病44例(78.6%)。并发症发生率为10.7%(6/56)。平均手术时间45min;平均住院3.2d;随访6个月至8年,无术后复发。结论 应用裁剪式双层prolene网片进行腹股沟疝无张力修补术,符合老年腹股沟疝的解剖特点和“个体化”要求,尤其适合于老年巨大疝环者或复发性疝。由于操作简便、安全和经济等特点,易于广泛推广。 相似文献
8.
目的 分析开放式补片修补术治疗腹壁切口疝的临床疗效。方法 回顾性分析我院于2013年10月至2018年3月行开放式补片修补术的210例腹壁切口疝病人的临床资料。分析不同术式和补片固定方式,术后血清肿、切口感染、补片感染、慢性疼痛、肠漏、复发以及死亡的发生。结果 术后血清肿25例(11.90%),切口感染14例(6.67%),补片感染3例(1.43%),慢性疼痛7例(3.33%),肠漏3例(1.43%),复发7例(3.33%),死亡2例(0.95%)。采用IPOM术式病人术后仅有血清肿并发症发生率低于Sublay术(P<0.05),差异有统计学意义,其余并发症发生和复发率差异无统计学意义(P>0.05)。Sublay术式中加强法与桥接法术后并发症差异无统计学意义(P>0.05)。采用缝线+不可吸收疝钉组与缝线+可吸收疝钉组术后慢性疼痛和复发率无统计学差异(P>0.05)。结论 开放式补片修补术治疗腹壁切口疝安全有效。 相似文献
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10.
Resistance to adhesion formation: A comparative study of treated and untreated mesh products placed in the abdominal cavity 总被引:1,自引:0,他引:1
Background: New materials have been devised to prevent postoperative adhesions when placing a prosthesis in contact with abdominal contents. Methods: Eighty rats underwent laparotomy and denudation of the serosa of the cecum and peritoneal covering of the abdominal wall. Five treated mesh products (Parietex Composite, Parietene Composite, Bard Composix E/X, Sepramesh, and Gore-Tex Dual Mesh) and one untreated mesh product (untreated Parietene) were randomly placed between the cecum and abdominal wall. A group without mesh was used as control. The animals were sacrificed at 21 days following surgery and analyzed for the presence of adhesions.Results: The incidence of adhesion formation, mean adhesion area, maximum adhesion length, and strength of adhesion separation were similar between Parietex Composite, Parietene Composite, and Bard Composix E/X, and they were significantly less than with Sepramesh, untreated Parietene, and the control group. Gore-Tex Dual Mesh resulted in less adhesions, adhesion area, mean strength of separation, and work of separation than the untreated Parietene group and the control group. Sepramesh resulted in less strength and work of separation compared to the control group. Conclusions: The incidence of adhesions and work and strength of adhesion separation are reduced when using a treated mesh, compared to the untreated mesh and the control group without mesh. Parietex Composite, Parietene Composite, Bard Composix E/X, and Gore-Tex Dual Mesh were superior to Sepramesh, untreated Parietene, and the control group in the prevention of adhesion formation.Disclosure statement: This study was sponsored by: Sofradim, Trévoux, France 相似文献
11.
Rotator cuff repair with a novel mesh suture: An ex vivo assessment of mechanical properties 下载免费PDF全文
Tao Zhang Taku Hatta Andrew R. Thoreson ChengChang Lu Scott P. Steinmann Steven L. Moran Chunfeng Zhao 《Journal of orthopaedic research》2018,36(3):987-992
12.
Bulent Gungor Şaban Esen Ali Gök Havva Yılmaz Zafer Malazgirt Hakan Leblebicioğlu 《The Indian journal of surgery》2010,72(3):226-231