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腹腔镜切口疝修补术的应用价值
引用本文:徐大华. 腹腔镜切口疝修补术的应用价值[J]. 世界华人消化杂志, 2007, 15(29): 3057-3061
作者姓名:徐大华
作者单位:首都医科大学宣武医院外科,北京市,100053
摘    要:腹壁切口疝是腹部手术后的常见并发症,使用或不使用人工补片的传统开放式修补手术是主要治疗方法.然而,近期发表的一些关于腹腔镜修补术的研究报告,对重新评价何种修补技术的效果向外科医生提出了挑战.目前腹腔镜切口疝修补术已经越来越普及,因为其住院时间短、并发症下降而且复发率低.关于此修补技术的主要争论.是应该采用哪种人工补片固定方法,是经肌筋膜层缝合加用缝合钉固定还是单独采用缝合钉固定?某些较高的复发率可能与腹腔镜手术技术学习曲线有关.

关 键 词:腹腔镜  切口疝
收稿时间:2007-05-18
修稿时间:2007-09-23

Value of laparoscopic incisional hernia repair
Da-Hua Xu. Value of laparoscopic incisional hernia repair[J]. World Chinese Journal of Digestology, 2007, 15(29): 3057-3061
Authors:Da-Hua Xu
Abstract:Incisional hernia is a common complication of abdominal surgery.Traditionally the open repair with or without mesh was the mainstay of treatment.However,many recently published laparoscopic repair studies have challenged surgeons to reevaluate it with technique providing the best outcomes.At present, laparoscopic incisional hernia repair has become increasingly popular because of its low hospital stay,decreased complication rat,and lower recurrence rat.The major debate for this repair is which mesh fixation technique should be employed:tacks plus transmuscular/fascial sutures or tacks alone.Some higher recurrence rate may be attributable to a laparoscopic surgical technical learning curve.
Keywords:Laparoscopy  Incisional hernia
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