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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2020, Vol. 14 ›› Issue (05): 481-484. doi: 10.3877/cma.j.issn.1674-392X.2020.05.004

Special Issue:

• Clinical Article • Previous Articles     Next Articles

Clinical study of open surgery assisted laparoscopy and complete laparoscopic repair in the treatment of abdominal incisional hernia

Guangjian Tian1,(), Peng Liu1, Pei Yang1, Xin Zhao1   

  1. 1. Department of General Surgery, Beijing Luhe Hospital, Capital Medical University, Beijing 101100, China
  • Received:2019-10-19 Online:2020-10-20 Published:2020-10-20
  • Contact: Guangjian Tian

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

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