【Abstract】Objective To investigate the effects and advantages of laparoscopic hernioplasty for hernia. Methods From June 1995 to June 2005, 222 patients with hernia were treated with laparoscopy. Transabdominal preperitoneal hernia repair (TAPP) were performed in 166 patients. Totally extraperitoneal hernia repair(TEP) were performed in 25 patients. Closure of the internal orifice of hernia was performed in 21 patients. Furthermore, incisional hernia in 2 patients, diaphragmatic hernia in 1 patient and mesenteric hernia in 1 patient were performed by laparoscopic hernioplasty and 6 patients with hernia of oesophagus finestra performed hernioplasty combined collapse gastric fundus with laparoscopy. In this series 45 patients associated with other abdominal disease were simultaneously treated with laparoscopy. Results All cases were operated successfully. The span of operation reduration was 42.5 min 〔(10~180 min)〕. The average length of postoperative hospital stay were 4.6 days. There was one early failure owing to the use of too small a piece of mesh.
Conclusion The results indicate that mesh repair of hernias is a satisfactory technique with a low recurrence rate and a low major complication rate.
Citation:
WANG Cun chuan,ZHANG Song bo,CHEN Jun,HU You zhu.. Laparoscopic Hernioplasty in 222 Patients. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2005, 12(6): 551-553. doi:
Copy
1. |
1
王存川,李进义,傅全胜,等. 经腹腔镜腹股沟疝修补术 [J]. 中国内镜杂志, 1997; 3(3) 42 王存川主编. 实用腹腔镜外科手术学 [M]. 第1版. 广州: 暨南大学出版社, 2002153~1693 王存川主编. 普通外科腹腔镜手术彩色图谱 [M]. 第1版. 北京: 科学出版社, 200547~534 Schumpelick V, Treutner KH, Arlt G. Inguinal hernia repair in adults [J]. Lancet, 1994; 344(8919)3755 Lichtenstein IL, Shulman AG. Ambulatory outpatient hernia surgery. Including a new concept, introducing tensionfree repair [J]. Int Surg, 1986; 71(1)16 Phillips EH, Rosenthal R, Fallas M, et al. Reasons for early recurrence following laparoscopic hernioplasty [J]. Surg Endosc, 1995; 9(2)1407 Felix EL, Michas CA, Gonzalez MH Jr. Laparoscopic hernioplasty. TAPP vs TEP [J]. Surg Endosc, 1995; 9(9)9848 Kamal MFI, Leigh N, Domenic R, et al. Repair of ventral incisional hernia [J]. Am J Surg, 2004; 188:223.
|
- 1. 1
王存川,李进义,傅全胜,等. 经腹腔镜腹股沟疝修补术 [J]. 中国内镜杂志, 1997; 3(3) 42 王存川主编. 实用腹腔镜外科手术学 [M]. 第1版. 广州: 暨南大学出版社, 2002153~1693 王存川主编. 普通外科腹腔镜手术彩色图谱 [M]. 第1版. 北京: 科学出版社, 200547~534 Schumpelick V, Treutner KH, Arlt G. Inguinal hernia repair in adults [J]. Lancet, 1994; 344(8919)3755 Lichtenstein IL, Shulman AG. Ambulatory outpatient hernia surgery. Including a new concept, introducing tensionfree repair [J]. Int Surg, 1986; 71(1)16 Phillips EH, Rosenthal R, Fallas M, et al. Reasons for early recurrence following laparoscopic hernioplasty [J]. Surg Endosc, 1995; 9(2)1407 Felix EL, Michas CA, Gonzalez MH Jr. Laparoscopic hernioplasty. TAPP vs TEP [J]. Surg Endosc, 1995; 9(9)9848 Kamal MFI, Leigh N, Domenic R, et al. Repair of ventral incisional hernia [J]. Am J Surg, 2004; 188:223.