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中华疝和腹壁外科杂志(电子版)

中华疝和腹壁外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (01) : 8 -11. doi: 10.3877/cma.j.issn.1674-392X.2021.01.003

所属专题： 文献；

临床论著

腹腔镜下生物补片修补成人脐疝的临床疗效分析
李光兴1, 申英末2,†()   
  1. 1. 100043　北京，首都医科大学第三临床医学院
    2. 100043　首都医科大学附属北京朝阳医院疝和腹壁外科
  • 收稿日期:2020-01-10 出版日期:2021-02-18
  • 通信作者: 申英末

Analysis of clinical effect of laparoscopic biological mesh repair for adult umbilical hernia

Guangxing Li1, Yingmo Shen2,†()   

  1. 1. The Third Clinical Medical College of Capital Medical University, Beijing 100043, China
    2. Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100043, China
  • Received:2020-01-10 Published:2021-02-18
  • Corresponding author: Yingmo Shen
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李光兴, 申英末. 腹腔镜下生物补片修补成人脐疝的临床疗效分析[J]. 中华疝和腹壁外科杂志(电子版), 2021, 15(01): 8-11.

Guangxing Li, Yingmo Shen. Analysis of clinical effect of laparoscopic biological mesh repair for adult umbilical hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2021, 15(01): 8-11.

目的

探讨腹腔镜下生物补片修补成人脐疝的有效性和临床疗效。

方法

回顾性分析2017年1月至2019年1月在首都医科大学附属北京朝阳医院疝和腹壁外科15例行腹腔镜脐疝生物补片修补术患者的临床资料。

结果

15例患者均顺利完成腹腔镜脐疝修补术，所有患者均行腹腔内生物补片置入修补术。住院时间5～6 d，平均5.5 d。术后随访8～32个月，平均18个月。随访期间无复发，发生包裹性积液1例；术后1个月发生血清肿3例；未见术后发生腹壁慢性疼痛。

结论

腹腔镜下生物补片修补成人脐疝是一种微创、安全、可靠的方法，并且具有较好的临床效果。

关键词: 脐疝, 生物补片, 腹腔镜, 疝修补术
Objective

To explore the effectiveness and clinical efficacy of laparoscopic biological mesh repair for adult umbilical hernia.

Methods

The clinical data of 15 patients undergoing laparoscopic umbilical hernia biological mesh repair from January 2017 to January 2019 in Beijing Chaoyang Hospital were retrospectively analyzed.

Results

Intraperitoneal onlay mesh were performed in all 15 patients successfully. The hospitalization was 5 to 6 days, with an average of 5.5 days. The follow-up period ranged from 8 to 42 months, with an average of 18 months. There was no recurrence during follow-up; 1 case of encapsulated effusion occurred; 3 cases of seroma occurred at 1 month after surgery; no chronic pain occurred in the area of abdominal wall after surgery.

Conclusion

Laparoscopic biological mesh repair of adult umbilical hernia is a minimally invasive, safe and reliable method, and it has good clinical effect.

Key words: Umbilical hernia, Biological mesh, Laparoscopic, Hernia repair
[1]
刘彤，陈志雨. 成人脐疝无张力修补18例分析[J]. 中国实用外科杂志, 2006, 26(4): 297.
[2]
Sharma A, Mehrotra M, Khullar R, et al. Laparoscopic ventral/incisional hernia repair: a single centre experience of 1 242 patients over a period of 13 years[J]. Hernia, 2011, 15(2): 131-139.
[3]
Köckerling F, Lammers B. Open intraperitoneal onlay mesh(IPOM) technique for incisional hernia repair[J]. Front Surg, 2018, 5: 66.
[4]
Carbajo M A, Olmo JCMND, Blanco JI, et al. Laparoscopic approach to incisional hernia[J]. Surg Endosc, 2003, 17(1): 118-122.
[5]
Zhang J, Wang GY, Xiao YP, et al. The biomechanical behavior and host response to porcine-derived small intestine submucosa, pericardium and dermal matrix acellular grafts in a rat abdominal defect model[J]. Biomaterials, 2011, 32(29): 7086-7095.
[6]
陈松耀，戴伟钢，陈创奇. 生物补片在疝与腹壁外科的临床应用进展[J/OL]. 中华疝和腹壁外科杂志(电子版), 2018, 12(2): 90-93.
[7]
孙力波，张海涛，赵晓飞, 等. 脐疝合并肝硬化腹水患者修补术治疗体会[J/OL]. 中华疝和腹壁外科杂志(电子版), 2017, 11(4): 244-246.
[8]
刘飞德，李基业，姚胜. 腹腔镜下生物补片修补成人脐疝[J]. 中华普通外科杂志, 2009, 24(11): 868-870.
[9]
梁庆余，谢佳明，吴浩荣, 等. 腹腔镜下成人脐疝修补术26例疗效分析[J/OL]. 中华腔镜外科杂志(电子版), 2013, 6(4): 279-283.
[10]
Colavita PD, Belyansky I, Walters AL, et al. Umbilical hernia repair with mesh: identifying effectors of ideal outcomes[J]. Am J Surg, 2014, 208(3): 342-349.
[11]
Aslani N, Brown CJ. Does mesh offer an advantage over tissue in the open repair of umbilical hernias? A systematic review and meta-analysis[J]. Hernia, 2010, 14(5): 455-462.
[12]
Lee L, Mata J, Landry T, et al. A systematic review of synthetic and biologic materials for abdominal wall reinforcement in contaminated fields[J]. Surg Endosc, 2014, 28(9): 2531-2546.
[13]
Giordano P, Pullan R D, Ystgaard B, et al. The use of an acellular porcine dermal collagen implant in the repair of complex abdominal wall defects: a European multicentre retrospective study[J]. Tech Coloproctol, 2015, 19(7): 411-417.
[14]
Sanchez VM, Abi-Haidar YE, Itani KMF. Mesh infection in ventral incisional hernia repair: incidence, contributing factors, and treatment[J]. Surg Infect(Larchmt), 2011, 12(3): 205-210.
[15]
戴伟钢，陈志辉，谭进富, 等. 猪小肠黏膜下层脱细胞基质补片与聚丙烯补片应用于前腹壁切口疝修补术的疗效分析[J]. 中华消化外科杂志, 2018, 17(11): 1095-1100.
[16]
樊知遥，张光永，闫治波. 腹腔镜切口疝修补术的现状及研究进展[J]. 腹腔镜外科杂志, 2017, 22(2): 151-157.
[17]
Kaoutzanis C, Leichtle SW, Mouawad NJ, et al. Risk factors for postoperative wound infections and prolonged hospitalization after ventral/incisional hernia repair[J]. Hernia, 2015, 19(1): 113-123.
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