...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical innovation >Laparoscopic Inguinal Hernia Repair With a Novel Hernia Mesh Incorporating a Nitinol Alloy Frame Compared With a Standard Lightweight Polypropylene Mesh
【24h】

Laparoscopic Inguinal Hernia Repair With a Novel Hernia Mesh Incorporating a Nitinol Alloy Frame Compared With a Standard Lightweight Polypropylene Mesh

机译：腹腔镜腹股沟疝气修补术的新型疝气网结合了镍钛合金框架与标准的轻型聚丙烯网

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background. Numerous mesh materials are available for laparoscopic inguinal hernia repair. The role of fixation of mesh in laparoscopic inguinal hernia repair remains controversial. Mesh materials have been engineered to anatomically conform to the pelvis to potentially reduce or eliminate the need for fixation. This study evaluates the outcomes of laparoscopic inguinal hernia utilizing a device consisting of a lightweight polypropylene mesh with a nitinol frame (Rebound HRD) compared with repair with lightweight polypropylene mesh with permanent tack fixation. Methods. A prospective randomized trial evaluating the outcomes of laparoscopic inguinal hernia repair with a lightweight polypropylene mesh with a nitinol frame (N-LWM) compared with standard lightweight polypropylene mesh (LWM) was conducted. Randomization was performed at an N-LWM to LWM ratio of 2:1. Repairs were standardized to a laparoscopic extraperitoneal approach without fixation for N-LWM and titanium tack fixation for LWM repairs. Follow-up assessments were performed at 7 days, 6 months, and 1 year. Outcome measures include visual analog pain scale (VAS), Short Form 36 (SF-36), Carolinas Comfort Scale (CCS), operative details, complications, and recurrences. Results. There were 47 patients that underwent laparoscopic inguinal hernia repair and adhered to study protocol (31 N-LWM, 16 LWM). The groups did not differ significantly in age, body mass index, ethnicity, or employment. The N-LWM group had bilateral mesh placed in 51.6% and LWM 43.8% (P = .76). Operative duration was similar, 59.6 +/- 23.1 minutes for LWM and 62.4 +/- 26.7 minutes for N-LWM (P = .705) as was mesh handling time was 5.4 +/- 3.1 minutes LWM versus 7.3 +/- 3.9 minutes N-LWM (P = .053). VAS, CCS, and SF-36 survey results were similar between groups. There was one recurrence (0.03%) in the N-LWM group. Conclusions. Nitinol-framed lightweight polypropylene mesh may be safely used during laparoscopic inguinal hernia repair with outcomes comparable to LWM at 1 year. N-LWM does not impact operating room time, mesh handling time, pain, recurrences, or complications.
机译：背景。许多网状材料可用于腹腔镜腹股沟疝修补术。腹腔镜腹股沟疝修补术中网孔固定的作用仍存在争议。网状材料经过精心设计，可以在解剖学上适应骨盆，从而有可能减少或消除固定需求。这项研究评估了腹腔镜腹股沟疝的治疗效果，该器械采用的是轻巧的聚丙烯网片和镍钛合金框架（反弹HRD），而不是采用永久性固定固定的轻巧聚丙烯网片进行修复。方法。进行了一项前瞻性随机试验，评估与标准的轻质聚丙烯网（LWM）相比，使用带镍钛合金框架（N-LWM）的轻质聚丙烯网腹腔镜腹股沟疝修补术的效果。以2：1的N-LWM与LWM之比进行随机化。修复标准化为腹腔镜腹膜外方法，N-LWM不固定，LWM修复为钛钉固定。在7天，6个月和1年时进行随访评估。结果指标包括视觉模拟疼痛量表（VAS），简短表格36（SF-36），Carolinas舒适量表（CCS），手术细节，并发症和复发。结果。有47例患者接受了腹腔镜腹股沟疝修补术并遵守研究方案（31 N-LWM，16 LWM）。这些组在年龄，体重指数，种族或就业方面无显着差异。 N-LWM组的双侧网片占51.6％，LWM为43.8％（P = .76）。手术时间类似，LWM为59.6 +/- 23.1分钟，N-LWM为62.4 +/- 26.7分钟（P = .705），网眼处理时间为5.4 +/- 3.1分钟LWM与7.3 +/- 3.9分钟N-LWM（P = .053）。两组之间的VAS，CCS和SF-36调查结果相似。 N-LWM组有1例复发（0.03％）。结论在腹腔镜腹股沟疝修补术中，可以安全地使用镍钛合金框架的轻质聚丙烯网，其结果与1年时的LWM相当。 N-LWM不会影响手术室时间，网格处理时间，疼痛，复发或并发症。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号