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～2006年8月,对10例造口旁疝进行腹腔镜下补片修补术。结果:10例均在腹腔镜下行腹腔内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65～135 min,平均92 min。术后住院6～9 d,平均7 d。术后持续疼痛达3个月以上者3例,术后浆液肿2例,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,值得推广应用。
Objective To investigate the technique, safety and efficacy of laparoscopic mesh repair of parastomal hernia. Methods Laparoscopic mesh repair was performed on 10 patients with parasromal hernia during the period from December 2004 to August 2006. Results Laparoscopie mesh hernioplasty was successfully performed on 10 patients. The operating time was 65-135 minutes （average 92 minutes）. The postoperative hospital stay was 6-9 days （average 7 days）. Three patients complained of prolonged pain over 3 months; and 2 patients developed seroma, which were cured by needle aspiration and pressure bandage. No death, intestinal fistula and infection occurred. No hernia recurrence was observed during the 7 to 26 months （average 13 months） of follow-up. Conclusions Laparoscopic mesh repair is a safe and effective method for parastomal hernia.
出处
《外科理论与实践》
2008年第6期538-540,共3页
Journal of Surgery Concepts & Practice
关键词
疝修补术
腹腔镜
疝
造口旁
补片
Hernia repair, laparoseopy
Hernia, parastomal
Mesh
