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首页> 外文期刊>Surgical Endoscopy >Anatomical closure of trocar site by using tip hole needle and redirecting suture hook.
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Anatomical closure of trocar site by using tip hole needle and redirecting suture hook.

机译：通过使用尖端孔针和重定向缝线钩来解剖套管针部位。

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摘要

BACKGROUND: The incidence of trocar site incisional hernia following laparoscopic surgery is reported to be relatively high. The main reasons are trocar diameter and design, pre-existing fascial defects, and some operation- and patient-related factors. The goal of this article is to present a new procedure for anatomical closure of the trocar site to prevent its herniation. METHODS: In this study, 120 patients underwent laparoscopic cholecystectomy from June 2006 through February 2009 at the General Surgery Department, Zagazig University Hospital, Egypt. After the laparoscopic procedure was complete, the trocar sites were closed in anatomical layers by using a tip hole needle and a redirecting suture hook. The mean follow-up period was 2 years for any complication at these trocar sites. RESULTS: The mean hospital stay was 1.2 days, the mean age of the patients was 49.4 years, and the mean time to place one suture was 5 min. No trocar site hernia occurred with this technique during a mean follow-up of 2 years. Seven patients developed superficial infection at the trocar site and no mortality was reported. CONCLUSION: Good closure of the trocar site in layers by using a tip hole needle and a redirecting suture hook will prevent trocar site herniation.
机译：背景：腹腔镜手术后套管针切开疝的发生率据报道较高。主要原因是套管针的直径和设计，预先存在的筋膜缺陷以及一些与手术和患者相关的因素。本文的目的是为解剖套管针部位提出一种新的手术方法，以防止其突出。方法：本研究从2006年6月至2009年2月在埃及Zagazig大学医院普通外科进行了120例腹腔镜胆囊切除术。腹腔镜手术完成后，通过使用尖孔针和重定向缝线钩将套管针部位解剖层封闭。这些套管针部位的任何并发症的平均随访期为2年。结果：平均住院时间为1.2天，患者的平均年龄为49.4岁，平均缝合时间为5分钟。在平均2年的随访中，该技术未发生套管针疝。七名患者在套管针部位发生浅表感染，无死亡报告。结论：通过使用尖孔针和可改变方向的缝合线钩，可以很好地封闭套管针部位，可以防止套管针部位疝。

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