腹壁复发切口疝的微创治疗体会_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 张贤坤 ,  刘宏斌 , 韩晓鹏 , 苏琳 , 李洪涛 , 朱万坤

兰州军区兰州总医院普通外科（甘肃兰州 730050）;

Corresponding author：

刘宏斌, Email: zhangxk311@sohu.com

Keywords：

腹腔镜; 切口疝; 疝修补术; 复发

DOI：

10.7507/1007-9424.20150261

Video：

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目的探讨腹壁复发切口疝的腹腔镜治疗的临床效果。方法回顾性分析2010年7月至2014年6月期间我科收治的46例腹壁复发切口疝患者的临床资料。结果 46例患者均顺利完成手术，手术时间65～175 min，（88±10.6）min；术中出血量35～95 mL，（55±6.3）mL；术后住院时间5～17 d，（7.5±2.1）d。术后发生血清肿3例（6.5%），发生腹壁修补区域疼痛2例（4.3%），无切口感染、肠漏等情况发生。术后随访（18±4.5）个月（6～26个月）未见复发。结论在恰当选择病例、根据术中情况决定具体手术方式的情况下，腹腔镜下行腹壁复发切口疝修补术是安全、可行的，可取得较好的治疗效果。

Citation： 张贤坤, 刘宏斌, 韩晓鹏, 苏琳, 李洪涛, 朱万坤. 腹壁复发切口疝的微创治疗体会. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(8): 998-1000. doi: 10.7507/1007-9424.20150261 Copy

1.	Wassenaar EB, Schoenmaeckers EJ, Raymakers JT, et al. Recurre-nces after laparoscopic repair of ventral and incisional hernia:lessons learned from 505 repairs. Surg Endosc, 2009, 23(4):825-832.
2.	马宏光.切口疝的发生率和复发率的问题.中华疝和腹壁外科杂志:电子版, 2009, 3(4):366-368.
3.	刘飞德, 王世斌, 朱瑛梅, 等.腹壁切口疝补片修补术后复发的再手术治疗.中国普外基础与临床杂志, 2012, 19(3):300-304.
4.	Moreno-Egea A, Carrillo-Alcaraz A, Aguayo-Albasini JL. Is the outcome of laparoscopic incisional hernia repair affected by defect size? A prospective study. Am J Surg, 2012, 203(1):87-94.
5.	李基业.切口疝合成补片修补后复发疝的再修补.中国普外基础与临床杂志, 2013, 20(12):1333-1336.
6.	Davies SW, Turza KC, Sawyer RG, et al. A comparative analysis between laparoscopic and open ventral hernia repair at a tertiary care center. Am Surg, 2012, 78(8):888-892.
7.	Bröker M, Verdaasdonk E, Karsten T. Components separation technique combined with a double-mesh repair for large midline incisional hernia repair. World J Surg, 2011, 35(11):2399-2402.
8.	Rea R, Falco P, Izzo D, et al. Laparocopic ventral hernia repair with primary transparietal closure of the hernial defect. BMC Surg, 2012, 12 (Suppl 1):S33.
9.	蒋小华.腹腔镜切口疝修补术的研究进展.中国微创外科杂志, 2013, 13(9):856-858.
10.	Moreno-Egea A, Carrillo-Alcaraz A. Management of non-midline incisional hernia by the laparoscopic approach:results of a long-term follow-up prospective study. Surg Endosc, 2012, 26(4):1069-1078.
11.	Burger JW, Luijendijk RW, Hop WC, et al. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg, 2004, 240(4):578-585.
12.	Bansal VK, Misra MC, Kumar S, et al. A prospective randomized study comparing suture mesh fixation versus tacker mesh fixation for laparoscopic repair of incisional and ventral hernias. Surg Endosc, 2011, 25(5):1431-1438.
13.	Brill JB, Turner PL. Long-term outcomes with transfascial sutures versus tacks in laparoscopic ventral hernia repair:a review. Am Surg, 2011, 77(4):458-465.
14.	Wassenaar E, Schoenmaeckers E, Raymakers J, et al. Mesh-fixation method and pain and quality of life after laparoscopic ventral or incisional hernia repair:a randomized trial of three fixation techniques. Surg Endosc, 2010, 24(6):1296-1302.
15.	段守信.腹壁切口疝补片修补术后复发的再手术治疗分析.现代诊断与治疗, 2013, 24(4):914-915.
16.	白明辉, 刘建洛, 张少伟, 等.腹腔镜下腹壁复发切口疝修补术的临床体会.实用医学杂志, 2013, 29(8):1370.

1. Wassenaar EB, Schoenmaeckers EJ, Raymakers JT, et al. Recurre-nces after laparoscopic repair of ventral and incisional hernia:lessons learned from 505 repairs. Surg Endosc, 2009, 23(4):825-832.
2. 马宏光.切口疝的发生率和复发率的问题.中华疝和腹壁外科杂志:电子版, 2009, 3(4):366-368.
3. 刘飞德, 王世斌, 朱瑛梅, 等.腹壁切口疝补片修补术后复发的再手术治疗.中国普外基础与临床杂志, 2012, 19(3):300-304.
4. Moreno-Egea A, Carrillo-Alcaraz A, Aguayo-Albasini JL. Is the outcome of laparoscopic incisional hernia repair affected by defect size? A prospective study. Am J Surg, 2012, 203(1):87-94.
5. 李基业.切口疝合成补片修补后复发疝的再修补.中国普外基础与临床杂志, 2013, 20(12):1333-1336.
6. Davies SW, Turza KC, Sawyer RG, et al. A comparative analysis between laparoscopic and open ventral hernia repair at a tertiary care center. Am Surg, 2012, 78(8):888-892.
7. Bröker M, Verdaasdonk E, Karsten T. Components separation technique combined with a double-mesh repair for large midline incisional hernia repair. World J Surg, 2011, 35(11):2399-2402.
8. Rea R, Falco P, Izzo D, et al. Laparocopic ventral hernia repair with primary transparietal closure of the hernial defect. BMC Surg, 2012, 12 (Suppl 1):S33.
9. 蒋小华.腹腔镜切口疝修补术的研究进展.中国微创外科杂志, 2013, 13(9):856-858.
10. Moreno-Egea A, Carrillo-Alcaraz A. Management of non-midline incisional hernia by the laparoscopic approach:results of a long-term follow-up prospective study. Surg Endosc, 2012, 26(4):1069-1078.
11. Burger JW, Luijendijk RW, Hop WC, et al. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg, 2004, 240(4):578-585.
12. Bansal VK, Misra MC, Kumar S, et al. A prospective randomized study comparing suture mesh fixation versus tacker mesh fixation for laparoscopic repair of incisional and ventral hernias. Surg Endosc, 2011, 25(5):1431-1438.
13. Brill JB, Turner PL. Long-term outcomes with transfascial sutures versus tacks in laparoscopic ventral hernia repair:a review. Am Surg, 2011, 77(4):458-465.
14. Wassenaar E, Schoenmaeckers E, Raymakers J, et al. Mesh-fixation method and pain and quality of life after laparoscopic ventral or incisional hernia repair:a randomized trial of three fixation techniques. Surg Endosc, 2010, 24(6):1296-1302.
15. 段守信.腹壁切口疝补片修补术后复发的再手术治疗分析.现代诊断与治疗, 2013, 24(4):914-915.
16. 白明辉, 刘建洛, 张少伟, 等.腹腔镜下腹壁复发切口疝修补术的临床体会.实用医学杂志, 2013, 29(8):1370.

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腹壁复发切口疝的微创治疗体会

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