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Laparoscopic Ventral Hernia Repair: Mesh Options and Outcomes

机译:腹腔镜腹疝修补术:网格选项和结果

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摘要

Laparoscopic ventral hernia repair (LVHR) offers a minimally invasive option for the repair of congenital or incisional abdominal wall hernias. A key component of LVHR is the placement of a prosthetic or biological mesh intraperitoneally to cover the defect without reapproximating the fascial edges with a primary suture repair. The optimum mesh provides high tensile strength, reducing the risk of recurrence, stimulates host tissue ingrowth without promoting adhesion or fistula formation, resists secondary infection and seroma formation, and is affordable. Numerous mesh materials are available on the market, each with specific advantages and disadvantages. However, no single mesh possesses all the qualities of the ideal mesh and relatively few studies have been performed comparing meshes of different materials and design. Currently, the choice of mesh continues to be driven by surgeon preference and individual clinical situation. Here, we review the properties and outcomes of mesh materials currently available for use in LVHR. Semin Colon Rectal Surg
机译:腹腔镜腹疝修补术(LVHR)为修复先天性或切开性腹壁疝提供了微创的选择。 LVHR的关键组成部分是在腹膜内放置假体或生物网状物以覆盖缺损,而无需通过初次缝合修复使筋膜边缘重新接近。最佳的网状结构可提供高拉伸强度,降低复发风险,刺激宿主组织向内生长而不促进粘连或瘘管形成,抵抗继发感染和血清肿形成,并且价格合理。市场上有许多网眼材料,每种都有各自的优点和缺点。然而,没有一个网格具有理想网格的所有质量,并且比较不同材料和设计的网格的研究相对较少。当前,网格的选择继续由外科医生的偏好和个人临床情况驱动。在这里,我们回顾了当前可用于LVHR中的网状材料的特性和结果。 Semin Colon直肠外科

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