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首页> 外文期刊>Surgery >Medium-term follow-up confirms the safety and durability of laparoscopic ventral hernia repair with PTFE.
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Medium-term follow-up confirms the safety and durability of laparoscopic ventral hernia repair with PTFE.

机译：中期随访证实了使用PTFE进行腹腔镜腹疝修补术的安全性和耐用性。

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BACKGROUND: Ventral abdominal wall hernias are common lesions and may be associated with life-threatening complications. The application of laparoscopic principles to the treatment of ventral hernias has reduced recurrence rates from a range of 25% to 52% to a range of 3.4% to 9%. In this study, we review our experience and assess the clinical outcome of patients who have undergone laparoscopic repair of ventral hernias. METHODS: We reviewed the outcome of 79 patients with more than 1 year of follow-up who underwent laparoscopic ventral hernia repair between March 1996 and December 2001. Patient demographics, hernia characteristics, operative parameters, and clinical outcomes were evaluated. RESULTS: Of the 79 patients, 37 were males. Mean age was 55.8 years (range 28-81). Sixty-eight patients had incisional hernias, including 17 with recurrent hernias. Eleven patients had primary ventral hernias. The mean defect size was 103 cm(2) (range 4-510); incarceration was present in 22 patients (27.8%), and multiple (Swiss-cheese) defects in 20 (25.3%). Laparoscopic expanded polytetrafluoroethylene mesh repair by the modified Rives-Stoppa technique was completed in 78 (98.7%). One conversion occurred because of bowel injury. The mean operating time was 110 minutes (range 45-210) and mean hospital stay was 1.7 days (range 0-20), with 46 patients (58.2%) being discharged within 24 hours of surgery. Complications included seroma formation (3), chronic pain (3), prolonged ileus (1), hematoma formation (1), and missed bowel injury (1) for a complication rate of (11.4%). There were no deaths. After a follow-up of up to 6 years (a mean of 34 months), there were 4 recurrences (5%). CONCLUSION: The laparoscopic repair of ventral hernias is safe, effective, and durable with minimal morbidity. It is particularly successful in patients with recurrent lesions. The laparoscopic approach to ventral hernia repair should be considered the standard of care.
机译：背景：腹腹壁疝是常见的病变，可能与危及生命的并发症有关。腹腔镜原理在腹疝的治疗中已使复发率从25％到52％降低到3.4％到9％。在这项研究中，我们回顾了我们的经验并评估了腹腔镜修复腹疝的患者的临床结局。方法：我们回顾了1996年3月至2001年12月间接受腹腔镜腹疝修补术的1年以上随访的79例患者的结果。评估了患者的人口统计学，疝特征，手术参数和临床结局。结果：79例患者中，男性37例。平均年龄为55.8岁（范围28-81）。 68例患者发生切口疝，其中17例复发性疝。 11例患者患有原发性腹侧疝。平均缺损尺寸为103 cm（2）（范围4-510）;有22名患者（27.8％）出现监禁，20名（25.3％）有多处（瑞士-奶酪）缺陷。通过改良的Rives-Stoppa技术进行的腹腔镜扩大的聚四氟乙烯网修补术在78（98.7％）中完成。由于肠损伤发生了一次转化。平均手术时间为110分钟（范围为45-210），平均住院时间为1.7天（范围为0-20），其中46例患者（58.2％）在手术后24小时内出院。并发症包括血清肿形成（3），慢性疼痛（3），延长的肠梗阻（1），血肿形成（1）和肠漏漏（1），并发症发生率（11.4％）。没有死亡。随访长达6年（平均34个月）后，有4例复发（5％）。结论：腹腔镜修补腹疝是安全，有效，持久且发病率最低的。在复发性病变患者中特别成功。腹腔镜修复腹疝的方法应被视为护理标准。

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