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首页> 外文期刊>The American Journal of Surgery >Laparoscopic component separation reduces postoperative wound complications but does not alter recurrence rates in complex hernia repairs
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Laparoscopic component separation reduces postoperative wound complications but does not alter recurrence rates in complex hernia repairs

机译：腹腔镜组件分离可减少术后伤口并发症，但不会改变复杂疝修补术的复发率

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Background The purpose of this study was to evaluate and compare the incidence of wound complications after laparoscopic component separation (LCS) vs open component separation (OCS) in patients with complex abdominal wall hernias. Methods A retrospective review was performed of all patients who underwent LCS or OCS for repair of a complex abdominal wall hernia at a single institution between 2009 and 2011. Charts were reviewed to identify postoperative wound complications. A computed tomographic scan or physical examination was used for the determination of hernia recurrence. Categoric variables were compared using the Fisher exact test. Univariate and multivariate analyses were performed using linear and Cox regression. Recurrence rates were compared using log-rank tests (Kaplan-Meier method). Results A total of 44 patients underwent LCS (n = 18) or OCS (n = 26). There was no statistically significant difference between categoric variables. Multivariate analysis using wound complications as the dependent variable showed a statistically significantly lower rate of wound complications in the LCS group. Conclusions LCS is associated with a lower rate of wound complications when compared with OCS but yields comparable recurrence rates.
机译：背景技术本研究的目的是评估和比较复杂腹壁疝患者的腹腔镜成分分离（LCS）与开放成分分离（OCS）后伤口并发症的发生率。方法回顾性分析2009年至2011年间在单个机构接受过LCS或OCS修复复杂腹壁疝的所有患者的病历。计算机断层扫描或体格检查用于确定疝复发。分类变量使用Fisher精确检验进行比较。使用线性回归和Cox回归进行单变量和多变量分析。使用对数秩检验（Kaplan-Meier方法）比较复发率。结果共有44例患者接受了LCS（n = 18）或OCS（n = 26）。分类变量之间没有统计学上的显着差异。以伤口并发症为因变量的多变量分析显示，LCS组伤口并发症的发生率在统计学上显着降低。结论与OCS相比，LCS的伤口并发症发生率较低，但复发率相当。

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