Update: What is left for laparoscopic hernia repair?

被引：8

作者：

Bittner, R ^{[1
]}

Leibl, B ^{[1
]}

Kraft, K ^{[1
]}

Schwarz, J ^{[1
]}

Schmedt, CG ^{[1
]}

机构：

[1] Marienhosp Stuttgart, Klin Allgemein & Visceralchirurg, D-70199 Stuttgart, Germany

来源：

DIGESTIVE SURGERY | 1998年 / 15卷 / 02期

关键词：

inguinal hernia; laparoscopic hernia repair; transabdominal approach; recurrent hernia;

D O I：

10.1159/000018593

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The risks, benefits and costs of laparoscopic hernia repair are still being debated. According to a current survey on the situation of hernia surgery in Germany in 1996, laparoscopic hernioplasty was done in about 60% of the answering hospitals; about a quarter of all hernia repairs are done laparoscopically. Since April 1993, about 2,700 laparoscopic hernia repairs were done at Marienhospital Stuttgart. The operating time was on the average 50 min. The rate of complications was about 3%. The postoperative period of disablement was a median of 20 days included in this time was the postoperative hospital stay. The recurrence rate was about 1%. It is remarkable that laparoscopic hernia repair was equally efficient in repairing unilateral primary hernias, recurrent hernias or bilateral hernias. The cost analysis showed that the application of multipath articles will make the operation costs of laparoscopic hernia repair only about DM 100 higher than for a conventional operation.

引用

页码：167 / 171

页数：5