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中华疝和腹壁外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (06) : 620 -623. doi: 10.3877/cma.j.issn.1674-392X.2024.06.005

论著

Ad-Hoc 自裁剪补片用于造口旁疝Sugarbaker 修补术
曹能琦1, 张恒1,(), 郑立锋2, 陶庆松3, 嵇振岭1,2,3,()   
  1. 1.211200 南京市溧水区人民医院(东南大学附属中大医院溧水分院)普通外科
    2.210044 南京江北医院普通外科
    3.210009 南京,东南大学附属中大医院普通外科
  • 收稿日期:2024-10-24 出版日期:2024-12-18
  • 通信作者: 张恒, 嵇振岭
  • 基金资助:
    江苏省卫生健康委指导性项目(Z2022003)南京市卫生科技发展专项资金项目(YKK21204)

Application of Ad-Hoc mesh in laparoscopic Sugarbaker repair of parastomal hernia

Nengqi Cao1, Heng Zhang1,(), Lifeng Zheng2, Qingsong Tao3, Zhenling Ji1,2,3,()   

  1. 1.Department of General Surgery, Zhongda Hospital Lishui Branch Southeast University, Nanjing 211200, China
    2.Department of General Surgery,Nanjing Jiangbei Hospital, Nanjing 210044, China
    3.Department of General Surgery, Zhongda Hospital Southeast University, Nanjing 210009, China
  • Received:2024-10-24 Published:2024-12-18
  • Corresponding author: Heng Zhang, Zhenling Ji
引用本文:

曹能琦, 张恒, 郑立锋, 陶庆松, 嵇振岭. Ad-Hoc 自裁剪补片用于造口旁疝Sugarbaker 修补术[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 620-623.

Nengqi Cao, Heng Zhang, Lifeng Zheng, Qingsong Tao, Zhenling Ji. Application of Ad-Hoc mesh in laparoscopic Sugarbaker repair of parastomal hernia[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(06): 620-623.

目的

探讨Ad-Hoc 自裁剪补片用于造口旁疝Sugarbaker 修补术中的可行性和相关细节。

方法

回顾性分析2021 年12 月至2023 年12 月,在东南大学附属中大医院溧水院区及本部、南京江北医院应用Ad-Hoc 自裁剪补片行Sugarbaker 修补术的10 例结肠造口旁疝患者的临床资料,记录手术细节,总结相关经验。

结果

10 例患者均顺利完成手术,补片使用面积(222.16±30.0)cm2,疝环大小(6.6±1.2)cm×(3.3±0.9)cm,手术时间(125.5±20.0)min,术后肠道恢复时间(2.8±1.1)d,术后住院时间(9.3±1.4)d,术后中位随访时间24.5(10~34)个月,无肠梗阻、疝复发、造口肠管脱垂、慢性疼痛发生。

结论

Ad-Hoc 自裁剪补片用于造口旁疝Sugarbaker 修补术是安全可行的,且临床效果肯定,但仍需更大样本更长时间随访的研究来验证。

Objective

To systematic expolre the feasibility and details of using Ad-Hoc mesh in laparoscopic Sugarbaker repair of parastomal hernia.

Methods

A retrospective analysis was conducted on the clinical data of 10 patients with parastomal hernias who underwent Sugarbaker repair using Ad-Hoc self-tailored mesh in Zhongda Hospital Lishui Branch, Zhongda Hospital Southeast University, and Nanjing Jiangbei Hospital from December 2021 to December 2023.Surgical details were recorded, and relevant experiences were summarized.

Results

All the ten operations were completed successfully.The mean mesh size used was (222.16±30.0) cm2.The median size of hernia ring was (6.6±1.2) cm×(3.3±0.9) cm.The operative time was (125.5±20.0) min.The recovery time of intestinal function was (2.8±1.1) d.The postoperative hospital stay was (9.3±1.4) d.The median time of follow-up was 24.5 (10-34) months, and there was no intestinal obstruction, no recurrence, no stoma prolapse, and no postoperative chronic pain.

Conclusion

Ad-Hoc mesh in laparoscopic Sugarbaker repair of parastomal hernia is safe and effective,but further studies with large sample sizes and longer follow-up periods are needed to verify.

图1 采用Ad-Hoc 自裁剪补片进行结肠造口旁疝Sugarbaker 手术 注:1A “凸”形裁剪并折叠;1B 折叠部分缝合成型;1C 根据测量结果裁剪补片;1D 折叠部分完全覆盖造口肠管;1E 钉枪固定补片;1F 补片固定完成。
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