腹腔镜下造口旁疝修补术 |
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引用本文: | 田文,马冰,杜晓辉,夏绍友,肖西平,李荣,陈凛.腹腔镜下造口旁疝修补术[J].中华普外科手术学杂志(电子版),2007,1(2). |
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作者姓名: | 田文 马冰 杜晓辉 夏绍友 肖西平 李荣 陈凛 |
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作者单位: | 解放军总医院普通外科,北京,100853 |
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摘 要: | 目的 探讨腹腔镜下应用补片行造口旁疝修补术的方法、安全性及临床效果.方法 2004年11月至2006年4月对6例造口旁疝进行腹腔镜补片疝修补术.结果 6例均在腹腔镜下行腹腔粘连松解和补片固定,顺利完成造口旁疝修补手术.手术时间65~130 min,平均90 min .术后住院6~9 d,平均7 d.术后疼痛达3个月以上者有2例;浆液肿2,经穿刺抽液和加压包扎后治愈.无手术死亡,无造口感染和肠瘘发生.随访7~26个月,平均13个月,未见造口旁疝复发.结论 腹腔镜下行腹腔内粘连松解、采用腔内缝合器固定补片来修补造口旁疝是一种安全、有效的微创方法,值得临床推广应用.
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关 键 词: | 腹腔镜 疝 腹部 再手术 |
Mesh for laparoscopic repair of parastomal hernia |
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Authors: | TIAN Wen MA Bing DU Xiao-hui XIA Shao-you XIAO Xi-ping LI Rong CHEN Lin |
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Abstract: | Objective To investigate the value of mesh in laparoscopic repair of parastomal hernia. Methods Laparoscopic repair with mesh was performed in 6 patients with parasromal hernia from December 2004 to April 2006 in this hospital. Results Laparoscopic mesh herniorrhaphy was successfully performed in 6 patients. The operative time was 65~130 minites (average 90 min). Postoperative hospital stay was 6~9 days(average 7 days). Two patients complained of persistent pain for three months and two patients had seroma ,which was cured by needle aspiration and pressure bandage . No death and intestinal fistula nor infection occurred postoperatively. No recurrence of hernia was observed in all patients in 7 to 26 months(average 13 months) during follow-up. Conclusions Laparoscopic parastomal hernia repair using mesh is a safe and effective procedure of less injury to tissues. |
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Keywords: | Laparoscopes Hernia abdominal Reoperation |
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