摘要
目的探讨腹腔镜下应用补片行脐疝修补的临床效果。方法2006年8月至2009年4月在腹腔镜下对26例脐疝患者进行修补治疗。手术方法为用超声刀进行脐孔周围组织分离后，应用腔内缝合器将补片钉合疝孔边缘完成脐疝修补术。分析总结腹腔镜下应用补片行脐疝修补的临床效果。结果26例患者均成功地在腹腔镜下行脐疝无张力修补术。手术时间30～45min，平均35min。术中出血5—15ml，平均8ml。所有患者术后疼痛轻微，排气、排便时间20～32h，平均26h。术后住院3～7d，平均住院5d。住院期间未发生脂肪液化及感染，无手术死亡病例。所有患者均获得随访，时间3—25个月，平均14个月，未发现脐疝复发，所有患者对治疗效果较满意。结论腹腔镜下脐疝无张力修补术具有创伤小、恢复快、并发症少等特点，符合疝无张力修补原则。
Objective To investigate the clinical effects of laparoscopic tension-free repair of umbilical hernia using mesh. Methods Form August 2006 to April 2009, 26 patients with umbilical hernia were repaired with mesh under laparoscopy. After the tissues surrounding umbilical perforation were separated by using ultrasonic scalpel, the mesh was stapled to the hernia edge with under laparoscopy. The efficacy of this procedures was analyzed in this study. Results The tension-free repairing operations were completed successfully in the 26 patients under laparoscopy. The patients felt slight pain and began eating normally on the second day after the operation. The mean operation time was 35 min （30-45 min） and the mean blood loss was 8 m1（5-15 ml）. No operative death and infection occurred postoperatively. The mean postoperative hospital stay was 5 days （3-7 days）. The patients were followed up for 3-25 months （mean 14 months）, no recurrence of the hernia occurred in this group. Patients were satisfied with the operation. Conclusions Tension-free repairing of umbilical hernia with mesh under laparoscopy is a minimally invasive operation with fast recovery, few complications, it＇s in line with the principle of tension-free repair for hernia.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2010年第5期345-347,共3页
Chinese Journal of Surgery
关键词
疝
脐
腹腔镜
外科补片
无张力修补
Hernia, umbilical
Laparoscopes
Surgical mesh
Tension-free repair
