Clinical Analysis of Laparoscopic Repair for Abdominal Giant Incisional Hernia_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

DENG Yu ¹ , LIU Chunbo ² , SHI Feng ¹ , LIU Sujian ³ , TIAN Wen ⁴

1.Department of General Surgery andDivision of Ultrasound, People’s Hospital of Qitaihe City, Heilongjiang Province, Qitaihe 154600, China;;
3.Department of Thoracic Surgery, Beijing Aerospace General Hospital, Beijing 100076, China;;
4.Department of General Surgery, General Hospital of People’s Liberation Army, Beijing 100853, ChinaCorresponding Author: LIU S u-jian, E-mail: greentree811210@sina.com;

Corresponding author：

Keywords：

Incisional hernia; Patch; Hernia repair; Laparoscope

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Abstract Full text Figures/Tables Video References Cited by

Objective To study the clinical effect of laparoscopic repair of abdominal incision hernia.
Methods The clinical data of 41 abdominal incision hernia patients undergone laparoscopic repair were retrospectively analyzed.
Results 〗The operation was successfully performed for 38 cases, and 3 cases were conversed to open. Operative time ranged from 78 to 186 minutes, with an average of 95 minutes. Pain was minor after operation. The first flatus and defecation ranged from 25 to 41 hours, with an average of 32 hours. Food intake started on day 2 after operation. The average length of hospitalization was 6 days (range 5-7 days). After a mean follow-up of 9 (6-16) months, no incision hernia occurred.
Conclusion 〗Laparoscopic abdominal incision repair with composite patch is a safe and effective method, which is worthy of clinical application.

Citation： DENG Yu ,LIU Chunbo,SHI Feng,LIU Sujian,TIAN Wen. Clinical Analysis of Laparoscopic Repair for Abdominal Giant Incisional Hernia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(2): 108-110. doi: Copy

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3.	LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings [Ｊ] .　Surg Laparosc Endosc, 1993; 3(1)： 39.
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6.	田文，刘洪一，杜晓辉，等．腹腔镜下应用补片行复发巨大切口疝修补术 [Ｊ] . 军医进修学院学报， 2005； 26（6）： 426.
7.	李基业，马颂章．腹部手术切口疝手术治疗方案（草案） [Ｊ] ．中华普通外科杂志， 2004； 19(2)： 126.
8.	朱晓强，龚鼎铨．应用补片修补巨大腹壁切口疝26例报告 [Ｊ] ．中国实用外科杂志， 2006； 26(6)： 446.
9.	田文，马冰，杜晓辉，等. 腹腔镜下腹壁巨大切口疝修补术的临床应用 [Ｊ] ．中国普通外科杂志， 2007； 16（12）： 1149.
10.	王存川，张松柏，陈蓥，等. 腹腔镜疝修补手术222例经验 [Ｊ] . 中国普外基础与临床杂志， 2005； 12（6）： 551.
11.	张玉斌，李振符，谷建斌．如何降低腹壁巨大切口疝补片治疗的复发率 [Ｊ] ．中国现代医学杂志， 2007； 17(11)： 1401.
12.	Rudmik LR, Schieman C, Dixon E, et al. Laparoscopic incisional hernia repair: a review of the literature [Ｊ] . Hernia, 2006; 10(2)： 110.
13.	田文，马冰，杜晓辉，等．腹腔镜下腹壁切口疝修补术（附41例报告） [Ｊ] . 中国微创外科杂志， 2006； 6(9)： 697.

1. Parker HH 3rd, Nottingham JM, Bynoe RP, et al. Laparoscopic repair of large incisional hernias [Ｊ] . Am Surg, 2002; 68(6)： 530.
2. Reingruber B, Kastl S, Stremmel C, et al. Incisional hernia repair: tensiometry for the selection of the appropriate procedure [Ｊ] . Eur J Surg, 2001; 167(12)： 903.
3. LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings [Ｊ] .　Surg Laparosc Endosc, 1993; 3(1)： 39.
4. 李基业. 巨大腹壁切口疝的现代外科治疗 [Ｊ] . 中国普外基础与临床杂志， 2003； 10（1）： 10.
5. Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional [Ｊ] . Lancet, 2003; 362 (9395)： 1561.
6. 田文，刘洪一，杜晓辉，等．腹腔镜下应用补片行复发巨大切口疝修补术 [Ｊ] . 军医进修学院学报， 2005； 26（6）： 426.
7. 李基业，马颂章．腹部手术切口疝手术治疗方案（草案） [Ｊ] ．中华普通外科杂志， 2004； 19(2)： 126.
8. 朱晓强，龚鼎铨．应用补片修补巨大腹壁切口疝26例报告 [Ｊ] ．中国实用外科杂志， 2006； 26(6)： 446.
9. 田文，马冰，杜晓辉，等. 腹腔镜下腹壁巨大切口疝修补术的临床应用 [Ｊ] ．中国普通外科杂志， 2007； 16（12）： 1149.
10. 王存川，张松柏，陈蓥，等. 腹腔镜疝修补手术222例经验 [Ｊ] . 中国普外基础与临床杂志， 2005； 12（6）： 551.
11. 张玉斌，李振符，谷建斌．如何降低腹壁巨大切口疝补片治疗的复发率 [Ｊ] ．中国现代医学杂志， 2007； 17(11)： 1401.
12. Rudmik LR, Schieman C, Dixon E, et al. Laparoscopic incisional hernia repair: a review of the literature [Ｊ] . Hernia, 2006; 10(2)： 110.
13. 田文，马冰，杜晓辉，等．腹腔镜下腹壁切口疝修补术（附41例报告） [Ｊ] . 中国微创外科杂志， 2006； 6(9)： 697.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Analysis of Laparoscopic Repair for Abdominal Giant Incisional Hernia

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