腹腔镜下生物补片修补成人脐疝的临床疗效分析

doi:10.3877/cma.j.issn.1674-392X.2021.01.003

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. 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. 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

全文 ( ) 下载PDF ( ) 导出引用

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.

[1]	燕速, 霍博文. 腹腔镜食管胃结合部腺癌根治性切除术[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 13-13.
[2]	母德安, 李凯, 张志远, 张伟. 超微创器械辅助单孔腹腔镜下脾部分切除术[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 14-14.
[3]	李国新, 陈新华. 全腹腔镜下全胃切除术食管空肠吻合的临床研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 1-4.
[4]	李子禹, 卢信星, 李双喜, 陕飞. 食管胃结合部腺癌腹腔镜手术重建方式的选择[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 5-8.
[5]	李乐平, 张荣华, 商亮. 腹腔镜食管胃结合部腺癌根治淋巴结清扫策略[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 9-12.
[6]	陈方鹏, 杨大伟, 金从稳. 腹腔镜近端胃癌切除术联合改良食管胃吻合术重建His角对术后反流性食管炎的效果研究[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 15-18.
[7]	许杰, 李亚俊, 韩军伟. 两种入路下腹腔镜根治性全胃切除术治疗超重胃癌的效果比较[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 19-22.
[8]	李刘庆, 陈小翔, 吕成余. 全腹腔镜与腹腔镜辅助远端胃癌根治术治疗进展期胃癌的近中期随访比较[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 23-26.
[9]	任佳, 马胜辉, 王馨, 石秀霞, 蔡淑云. 腹腔镜全胃切除、间置空肠代胃术的临床观察[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 31-34.
[10]	王庆亮, 党兮, 师凯, 刘波. 腹腔镜联合胆道子镜经胆囊管胆总管探查取石术[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(02): 313-313.
[11]	杨建辉, 段文斌, 马忠志, 卿宇豪. 腹腔镜下脾部分切除术[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(02): 314-314.
[12]	叶劲松, 刘驳强, 柳胜君, 吴浩然. 腹腔镜肝Ⅶ+Ⅷ段背侧段切除[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(02): 315-315.
[13]	郭兵, 王万里, 何凯, 黄汉生. 腹腔镜下肝门部胆管癌根治术[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(01): 143-143.
[14]	李凯, 陈淋, 苏怀东, 向涵, 张伟. 超微创器械在改良单孔腹腔镜巨大肝囊肿开窗引流及胆囊切除中的应用[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(01): 144-144.
[15]	魏丽霞, 张安澜, 周宝勇, 李明. 腹腔镜下Ⅲb型肝门部胆管癌根治术[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(01): 145-145.

阅读次数

全文

摘要

选择文件类型/文献管理软件名称

选择包含的内容

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

模态框（Modal）标题

选择文件类型/文献管理软件名称

选择包含的内容

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