腹腔镜腹壁切口疝修补术18例体会(3)
2014-04-25 01:27
导读:钛钉黏连所致,出现肠梗阻症状也多不严重,保守治疗有效。我们也在LIHR术后再手术病例中观察到黏连的存在,肠管或网膜与补片之间的黏连较疏松,而
钛钉黏连所致,出现肠梗阻症状也多不严重,保守治疗有效。我们也在LIHR术后再手术病例中观察到黏连的存在,肠管或网膜与补片之间的黏连较疏松,而与钛钉之间的黏连要相对致密一些,提示肠梗阻的病理诱发因素是客观存在的。
尽管腹腔镜切口疝修补术仍有待进一步研究和评价,但综合目前已有文献和本组手术经验,该术式有微创,并发症少,复发率低,不延长恢复期等优点,是一种安全可靠的手术方法,特别是在巨大疝,复杂疝和复发疝的处理上更有优势。
【参考文献】
1 Mudge M,Hughes LE.Incisional hernia:a 10-year prospectivestudy of incidence and attitudes.Br J Surg.1985,17:71-72.
2 Bucknall TE,Cox PJ,Ellis H.Burst abdomen and incisionalhernia:a prospective study of 1129 major laparotomies.BMJ,1982,284:931-933.
3 Muhammad SS,Syed A,Bokhari I,et al.Laparoscopic versus poen repair of incisional/ventral hernia:a meta-analysis.The American Journal of Surgery,2009,197:64-72.
4 Manninen MJ,Lavonius M,Perhoniemi VJ,et al.Results of incisional hernia repair:a retrospective study of 172 unselected hernioplasties.Eur J Surg,1991,157:29-31.
5 Anthony T,Bergen PC,Kim LT.Factors affecting recurrence following incisional herniorrhaphy.World J Surg,2000,24:95-100.
6 Luijendijk RW,Hop WC,Van den Tol MP.A comparison of suture repair with mesh repair for incisional hernia.N Engl J Med,2000,343:392-398.
7 Pollock AV,Eans M.Early prediction of late incisional hernias.Br J Surg,1989,76:953-954.
8 Ausobsky JR,Evans M,Pollock AV.Does mass closure of midiline laparotomies stand the rest of time? A random control clinical trial.Ann R Coll Surg Engl,1985,67:159-161.
9 Weiland DE,Bay RC,Del Sordi S.Choosing the best abdominal closure by meta-analysis.Am J Surg,1998,176:666-670.
(科教论文网 Lw.nsEAc.com编辑整理)
10 Hodgson NCF,Malthaner RA,Ostbye T.The search for an ideal method of abdominal fascial closure:a meta-analysis.Ann Surg,2000,231:436-442.
11 Van’t Riet M,Steyerberg EW,Nellensteyn J,et al.Meta-analysis of techniques for closure of midline abdominal incisions.Br J Surg,2002,89:1350-1356.
12 Evangelos P,Misiako S,Machairas A,et al.Laparoscopic ventrol hernia repair:pros and cons compared with open hernia repair.JSLS,2008,12:117-125.
13 Lomanto D,Lyer SG.Laparoscopic versus open ventral hernia mesh repair:a prospective study.Surg Endosc,2006,20:1030-1035.
14 Cassar K,Munro A.Surgical treatment of incisional hernia.Br J Surg,2002,89:534-545.
15 LeBlanc KA,Whitaker JM,Bellanger DE,et al.Laparoscopic incisonal and ventral hernioplasty:lessons learned form 200 patients.Hernia,2003,7:118-124.
16 Cobb WS,Kercher KW,Heniford BT.Laparoscoic repair of incisional hernias.Surg Clin North Am,2005,85:91-103.
17 Frantizides CT,Carlson MA,Zografakis JG,et al.Minimally invasive incisional herniorrhaphy:a review of 208 cases.Surg Endosc,2004,18:1488-1491.
18 Rudmick LR,Schieman C,Dizon E.Laparoscopic incisionalhernia repair:a review of the literature.Hernia,2006,10:110-119.
19 郑民华,毛志海.腹壁切口疝的腹腔镜修补术.临床外科杂志,2006,13(2):119-121.
20 Eriksen JR,Poornoroozy P.Pain,quality of life and recovery after laparoscopic ventral hernia repair.Hernia,2009,13:13-21.
21 Witkowski P,Abbonante F.Are mesh anchoring sutures necessary in ventral hernioplasty?Hernia,2007,11:501-508.
22 Muhammad S.Sajid,F.R.C.S.Laparoscopic versus open repair of incisional/ventralhernia:a meta-analysis.The American Journal of Surgery,2009,197:64-72.
(科教论文网 lw.nSeAc.com编辑发布)