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

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

Abstract

Abstract:

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

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.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2021.01.003

https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2021/V15/I01/8

References 17

[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.

Please choose a citation manager

Content to export