分析腹腔镜手术方式在嵌顿性腹壁疝修补术中的应用效果及可行性。

收集2019年1月至2022年1月平原县第一人民医院21例嵌顿性腹壁疝患者的临床资料，对患者一般情况、手术情况、住院时间等进行回顾性分析，随访记录患者术后复发、肠瘘及肠梗阻、伤口感染、补片感染、血肿及血清肿等发生情况。随访时间为术后7 d，1、3、6个月及1年。

21例患者均行腹腔镜腹壁疝修补术。术中测量疝环缺损最大径为2.4（2.0，4.1）cm，手术时间为75（60，95）min；术中探查发现大网膜嵌顿5例，小肠嵌顿16例，经观察均未见坏死、穿孔等情况。患者住院时间为9.5（7，11）d。全部患者术后均按期随访，无失访病例。随访期内均未见腹壁疝复发、肠瘘及肠梗阻、伤口感染、补片感染、血肿及血清肿出现。

腹腔镜手术方式在嵌顿性腹壁疝修补术中具有一定可行性，疗效较为理想。

To analyze the effectiveness and feasibility of laparoscopic techniques in the repair of incarcerated abdominal wall hernias.

Clinical data from 21 patients with incarcerated abdominal wall hernias treated at Pingyuan County First People's Hospital from January 2019 to January 2022 was collected. A retrospective analysis was conducted on the general condition of the patients, surgical details, and length of hospital stay. Follow-up observations recorded the occurrence of postoperative complications such as hernia recurrence, intestinal fistula and obstruction, wound infection, mesh infection, hematoma, and seroma. Follow-up periods were set at 7 days, 1, 3, 6 months, and 1 year post-surgery.

All 21 patients underwent laparoscopic abdominal wall hernia repair. The maximum diameter of the hernia defect measured intraoperatively was 2.4 (range 2.0 to 4.1) cm, with the operation time being 75 (range 60 to 95) minutes. Intraoperative exploration revealed omental incarceration in 5 cases and small bowel incarceration in 16 cases, with no necrosis or perforation observed. The average hospital stay was 9.5 (range 7 to 11) days. All patients were followed up as scheduled, with no loss of follow-up. During the follow-up period, there were no occurrences of hernia recurrence, intestinal fistula and obstruction, wound infection, mesh infection, hematoma, or seroma.

The laparoscopic approach for the repair of incarcerated abdominal wall hernias demonstrates considerable feasibility and desirable outcomes.