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首页> 外文期刊>Surgical Endoscopy >Pitfalls and complications with laparoscopic intraperitoneal expanded polytetrafluoroethylene patch repair of postoperative ventral hernia.
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Pitfalls and complications with laparoscopic intraperitoneal expanded polytetrafluoroethylene patch repair of postoperative ventral hernia.

机译：腹腔镜腹腔扩大聚四氟乙烯膜片修补术后腹疝的陷阱和并发症。

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BACKGROUND: This study reviewed our experience with laparoscopic ventral postoperative (incisional) hernia repair. METHODS: Clinical data from the first 100 cases were analyzed retrospectively. RESULTS: Between 1997 and 2000, 64 women and 36 men (mean age, 58.4 +/- 13.6 years; range, 27-87 years) underwent laparoscopic hernioplasty. Hernias (mean diameter, 6.2 +/- 3.7 cm) were in a midline (74%), subcostal (10%), or other incision location, and were recurrent in 25%, of the patients. The mean operative time was 119 +/- 77 min. Extensive adhesiolysis was necessary in 37 cases. There was no mortality. The recorded complications included inadvertent enterotomies (n = 6), seromas (n = 11), prolonged ileus (n = 4), and prolonged fever (n = 3). Seven cases were converted; to repair accidental enterotomies (n = 4) due to difficult adhesiolysis (n = 2), or to control bleeding (n = 1). Six patients underwent reoperation because of enetric leak (n = 3) or bowel obstruction (n = 3). There were two documented recurrences (2%). The mean follow-up period was 19 months (range, 12-54 months). CONCLUSIONS: Laparoscopic intraperitoneal approach to postoperative ventral (incisional) hernia repair may be associated with significant complications and morbidity, which can be prevented in part by meticulous technique and liberal conversions. The justification of this procedure is the low recurrence rate, according to preliminary results.
机译：背景：这项研究回顾了我们在腹腔镜腹腔术后（切口）疝修补术的经验。方法：对前100例患者的临床资料进行回顾性分析。结果：在1997年至2000年之间，对64例女性和36例男性（平均年龄58.4 +/- 13.6岁;范围27-87岁）进行了腹腔镜疝气成形术。疝气（平均直径为6.2 +/- 3.7 cm）位于中线（74％），肋下（10％）或其他切口位置，在25％的患者中复发。平均手术时间为119 +/- 77分钟。 37例需要广泛的黏附溶解。没有死亡。记录的并发症包括无意肠切开术（n = 6），血清肿（n = 11），肠梗阻延长（n = 4）和发烧延长（n = 3）。七宗案件被转交;修复由于粘膜溶解困难（n = 2）导致的意外肠切术（n = 4），或控制出血（n = 1）。 6名患者因尿液漏出（n = 3）或肠梗阻（n = 3）而再次手术。有两次记录的复发（2％）。平均随访期为19个月（范围12-54个月）。结论：腹腔镜腹膜内入路术后腹侧（切口）疝修补术可能与严重的并发症和发病率有关，可以通过精心的技术和自由的转换来部分预防。根据初步结果，该手术的理由是低复发率。

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