Abstract:
Objective To explore the clinical experience and application of open surgery assisted laparoscopy and complete laparoscopic repair in the treatment of abdominal incisional hernia.
Methods A retrospective review of 41 patients with abdominal incisional hernia who were treated in Beijing Luhe hospital from January 2016 to June 2018 was carried out. Among them, 20 cases were treated with open surgery assisted laparoscopic repair as observation group, and 21 cases were treated with complete laparoscopic repair as control group. The surgical indexes, postoperative recovery, follow-up complications of the two groups were compared.
Results The operation time of the observation group was (106.81±33.90) min, the intraoperative blood loss was (14.05±7.85) ml, and the complications occurred in 1 case (5%); the control group was (126.75±23.36) min, (27.25±15) ml, and 3 cases (14.29%), respectively. There was no significant difference between the two groups (P<0.05). The postoperative exhaust time was (2.05±0.51) d and hospitalization days was (6.95±2.31) d in the observation group, and they were (1.71±0.64) d and (6.38±1.24) d in the control group respectively, and there was no statistically significant difference (P>0.05).
Conclusion Open surgery assisted laparoscopic repair of abdominal incisional hernia can significantly shorten the operation time, reduce intraoperative bleeding volume, and reduce the occurrence of postoperative complications, and it has good safety, with high clinical value.
Key words:
Abdominal incisional hernia,
Laparoscopic,
Open surgery,
Hernia repair
Guangjian Tian, Peng Liu, Pei Yang, Xin Zhao. Clinical study of open surgery assisted laparoscopy and complete laparoscopic repair in the treatment of abdominal incisional hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(05): 481-484.