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題名 | Laparoscopic Ventral and Incisional Hernia Repair: A Preliminary Report=腹腔鏡腹部及切口疝氣修補術 |
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作者 | 戴運生; 林炳文; Tai, Yun-sheng; Lin, Pin-wen; |
期刊 | 中華民國外科醫學會雜誌 |
出版日期 | 20000100、20000200 |
卷期 | 33:1 民89.01-02 |
頁次 | 頁8-13 |
分類號 | 416.2423 |
語文 | eng |
關鍵詞 | 腹腔鏡疝氣修補術; 腹部; 切口疝氣; Laparoscopy; Ventral and incisional hernia; Prosthesis; |
中文摘要 | 腹部和切口疝氣為外科常見但困難的手術之一,主要是因為它有極高的復發率及感染率。"無 張力"的修補手術,雖可能降低復發率,但無補於感染的發生。尤其是在肥胖的病人身上。腹腔鏡前氣修補術近來被提出,是因為腹腔鏡手術,可以減少術後停留的住院時間,減少痛苦,和降低這復發和發炎的情形。 在此,我們提出本院的經驗。從1998年十二月至1999四月,合計有五個病患在本院接受此種手術。疝氣的大小平均為155平方公分,手術時間平均為235分鐘,術後住院天數平均為5天,追蹤時間從6個月8至個月不等,並未發現有復發的情形發生。 |
英文摘要 | Ventral and incisional hernia repairs, which are among the most common abdominal operations, are associated with a high rate of hernia recurrence (50%) and an infection rate of about 10%. The use of tension-free repairs has reduced the recurrence rate but not the infection rate, especially in obese patients. We began to use a laparoscopic approach to ventral hernia repair because this method may reduce the postoperative hospital stay, lessen postoperative pain, and decrease rates of recurrence and infection. From December 1998 to April 1999, we repaired complicated umbilical and incisional hernias in 5 patients. Two patients had concomitant laparoscopic cholecystectomy. The hernias were 8 to 456 cm2 in size (mean, 155 cm2). An expanded polytetrafluoroethylene mesh was used in 3 cases, and a polypropylene mesh was used in 2. The operation time ranged from 180 to 335 minutes (mean, 235 minutes). The postoperative stay ranged from 3 to 8 days (mean, 5 days). One patient had postoperative herniation of a trocar site and seroma formation. During a follow-up period of 6 to 10 months, there were no infections and no recurrences. |
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