Clinical application of mini/less open sublay approach in ventral hernia repair

doi:10.3877/cma.j.issn.1674-392X.2019.01.007

Abstract

Abstract:

Objective

To investigate the clinical utility and outcomes of mini/less open sublay (MILOS) approach in ventral hernia repair.

Methods

Retrospectively studied Forty-nine cases of ventral hernia patients admitted to Affiliated Hangzhou First People's Hospital of Zhejiang University School of Medicine from November 2016 to June 2018. Clinical materials were collected and analyzed.

Results

Mean width of abdominal defect were (5.27±2.95) cm. Mean length of incisions were (4.89±2.13) cm. Thirty-six cases were incisional hernia, and thirteen cases were umbilical hernias (with 3 cases combined with diastasis recti abdominis). All the patients underwent MILOS surgery with retro-muscular/preperitoneal mesh reinforcement. Closed suction drains were routinely placed above the mesh. The operation time was (114.2±48.8) minutes, and estimated blood loss was (88.7±38.5) cm³. Length of hospitalization were (10.6±2.4) days. We had 2 cases of superficial SSI and 1 case of grade Ⅲ seroma which were cured under non-surgical therapy. No complications like mesh infection, intestinal obstructions, fistula or chronic pain were reported. No recurrence, or postoperative bulging were reported during the follow-up.

Conclusion

MILOS approach is a minimal invasive sublay repair with wide indications for ventral hernia repair, which worth utilizing in clinical practicing.

Key words: Ventral hernia repair, Mini/less open sublay, Minimal invasive

Yonggang Huang, Ping Wang, Jing Ye, Hao Wu, Zicheng Guo, Fangjie Zhang, Guodong Gao. Clinical application of mini/less open sublay approach in ventral hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(01): 21-26.

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References 43

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临床资料	(n=49)
性别	?
男[例(%)]	30(61.2)
女[例(%)]	19(38.8)
年龄(±s,岁)	56.42±13.16
体质量指数(±s,kg/m²)	26.73±4.37
美国麻醉医师协会评分(±s)	2.25±1.18
手术时间(±s,min)	114.2±48.8
术中出血(±s,cm³)	88.7±38.5
缺损宽度(±s,cm)	5.27±2.95
切口长度(±s,cm)	4.89±2.13
补片大小(±s,cm²)	362.00±127.47

临床资料	(n=49)
性别	?
男[例(%)]	30(61.2)
女[例(%)]	19(38.8)
年龄(±s,岁)	56.42±13.16
体质量指数(±s,kg/m²)	26.73±4.37
美国麻醉医师协会评分(±s)	2.25±1.18
手术时间(±s,min)	114.2±48.8
术中出血(±s,cm³)	88.7±38.5
缺损宽度(±s,cm)	5.27±2.95
切口长度(±s,cm)	4.89±2.13
补片大小(±s,cm²)	362.00±127.47

临床资料	(n=49)
手术切口不良事件[例(%)]	3(6.1)
[例(%)]	0(0.0)
血清肿(Ⅲ、Ⅳ型)[例(%)]	1(2.0)
切口裂开[例(%)]	0(0.0)
手术部位感染[例(%)]	2(4.1)
浅表感染[例(%)]	2(4.1)
深部感染[例(%)]	0(0.0)
补片感染[例(%)]	0(0.0)
其他术后并发症[例(%)]	?
肠梗阻[例(%)]	0(0.0)
肠瘘[例(%)]	0(0.0)
住院时间(d,±s)	10.6±2.4
随访时间(个月,±s)	12.13±6.42
VASmax评分^a(分,±s)	2.34±1.21
复发[例(%)]	0(0.0)
膨出[例(%)]	0(0.0)

临床资料	(n=49)
手术切口不良事件[例(%)]	3(6.1)
[例(%)]	0(0.0)
血清肿(Ⅲ、Ⅳ型)[例(%)]	1(2.0)
切口裂开[例(%)]	0(0.0)
手术部位感染[例(%)]	2(4.1)
浅表感染[例(%)]	2(4.1)
深部感染[例(%)]	0(0.0)
补片感染[例(%)]	0(0.0)
其他术后并发症[例(%)]	?
肠梗阻[例(%)]	0(0.0)
肠瘘[例(%)]	0(0.0)
住院时间(d,±s)	10.6±2.4
随访时间(个月,±s)	12.13±6.42
VASmax评分^a(分,±s)	2.34±1.21
复发[例(%)]	0(0.0)
膨出[例(%)]	0(0.0)

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