Study on use of biological patch in laparoscopic incisional hernia repair (IPOM procedure)

doi:10.3877/cma.j.issn.1674-392X.2021.02.009

Abstract

Abstract:

Objective

To explore the application effect of acellular tissue matrix patch (biological patch) in incisional hernia repair.

Methods

Retrospectively analyzed the data of 84 patients with small incisional hernia repair from February 2014 to January 2020 in Jinan Central Hospital Affiliated Shandong University. Then compared the efficacy and complications between biological patch (n=45) and anti-adhesive synthetic mesh (n=39) in incisional hernia repair.

Results

There were no statistically significant differences in postoperative hospital stay and operating time (P>0.05). No recurrent patients within the follow-up date. One case of pulmonary embolism after operation occurred in synthetic mesh group. There were no statistically significant differences in mesh infection, chronic pain andClavien-Dindograde>II complications (P>0.05).

Conclusion

Biological patch could be safely and effectively used to repair the incisional hernia.

Key words: Hernia, inguinal, Laparoscopes, Acellular tissue matrix patch

Yiheng Xue, Yan Meng, Shaochuan Sun, Zhongwei Sun. Study on use of biological patch in laparoscopic incisional hernia repair (IPOM procedure)[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2021, 15(02): 154-157.

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URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2021.02.009

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References 14

[1]	中华医学会外科学分会疝与腹壁外科学组，中国医师协会外科医师分会疝和腹壁外科医师委员会. 腹壁切口疝诊断和治疗指南(2018年版)[J/OL]. 中华疝和腹壁外科杂志(电子版), 2018, 12(4): 241-243.
[2]	Turner Patricia L, Park Adrian E. Laparoscopic repair of ventral incisional hernias: pros and cons[J]. Surg Clin North Am, 2008, 88(1): 85-100.
[3]	李亮，安伟德. 腹腔镜与开放手术治疗腹壁切口疝的临床研究[J/OL]. 中华疝和腹壁外科杂志(电子版), 2013, 7(1): 60-63.
[4]	LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings[J]. Surg Laparosc Endosc, 1993, 3(1): 39-41.
[5]	姚琪远. 腹腔镜下腹壁疝修补术在国内开展的现状及应用前景[J]. 中国微创外科杂志, 2010, 10(2): 103-106.
[6]	Bittner R, Bingener-Casey J, Dietz U, et al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endoherniasociety (IEHS)-part1[J]. Surg Endosc, 2014, 28(1): 2-29.
[7]	唐健雄，郑民华. 切口疝腹腔镜手术的规范化操作专家共识[J/OL]. 中华疝和腹壁外科杂志(电子版), 2016, 10(1): 1-7.
[8]	Tandon A, Pathak S, Lyons NJR, et al. Meta-analysis of closure of the fascial defect during laparoscopic incisional and ventralhernia repair[J]. Br J Surg, 2016, 103(12): 1598-1607.
[9]	Shankaran V, Weber DJ, Reed RL 2nd, et al. A review of available prosthetics for ventral hernia repair[J]. Ann Surg, 2011, 253(1): 16-26.
[10]	Witt PD, ChengCJ, MallorySB, et al. Surgical treatment of pseudosyndactyly of the hand in epidermolysisbullosa: histological analysis of an acellular allograft dermal matrix[J]. Ann Plast Surg, 1999, 43(4): 379-385.
[11]	Wong AK, Schonmeyr B, Singh P, et al. Histologic analysis ofangiogenesis and lymphangio genesis in acellular human dermis[J]. Plast Reconstr Surg, 2008, 121(4): 1144-1152.
[12]	Itani Kamal M F, RosenMichael, VargoDaniel, et al. Prospective study of single-stage repair of contaminated hernias using a biologic porcine tissue matrix: the RICH Study[J]. Surgery, 2012, 152(3): 498-505.
[13]	Kurmann A, Visth E, Candinas D et al. Long-term follow-up of open and laparoscopic repair of large incisional hernias[J]. World J Surg, 2011, 35(2): 297-301.
[14]	Alfieri S, Amid PK, Izard G, et al. International guidelines for prevention and management of post-operativechronic painfollowing inguinal hernia surgery[J]. Hernia, 2011, 15(3): 239-249.

组别	例数	年龄(岁,±s)	性别(男性/女性)	腹壁缺损最大直径(cm,±s)	术后住院天数(d,±s)	手术时间(min,±s)	补片感染(例)	术后复发(例)	肺栓塞(例)	慢性疼痛(例)	并发症分级≥Ⅱ级(例)
生物补片组	45	57.9±2.3	17/28	3.0±0.13	4.3±0.36	72.2±3.76	2/43	0	0	2	2
合成补片组	39	61.0±2.2	10/29	3.2±0.21	4.8±0.42	73.0±2.60	2/37	0	1	3	3
P值		0.32	0.23	0.48	0.38	0.88	0.71			0.88	0.88

组别	例数	年龄(岁,±s)	性别(男性/女性)	腹壁缺损最大直径(cm,±s)	术后住院天数(d,±s)	手术时间(min,±s)	补片感染(例)	术后复发(例)	肺栓塞(例)	慢性疼痛(例)	并发症分级≥Ⅱ级(例)
生物补片组	45	57.9±2.3	17/28	3.0±0.13	4.3±0.36	72.2±3.76	2/43	0	0	2	2
合成补片组	39	61.0±2.2	10/29	3.2±0.21	4.8±0.42	73.0±2.60	2/37	0	1	3	3
P值		0.32	0.23	0.48	0.38	0.88	0.71			0.88	0.88

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