Incisional hernia repair: Laparoscopic techniques

被引：62

作者：

LeBlanc, KA

机构：

[1] Minimally Invas Surg Inst, Baton Rouge, LA 70808 USA

[2] Louisiana State Univ, Sch Med, Dept Surg, New Orleans, LA 70112 USA

来源：

WORLD JOURNAL OF SURGERY | 2005年 / 29卷 / 08期

关键词：

D O I：

10.1007/s00268-005-7971-1

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Repair of incisional hernias using the laparoscopic technique has continued to evolve since its inception in 1991. An analysis of the current literature has revealed that hernias as large as 1600 cm(2) have been successfully repaired with this method. The average size appears to be about 105 cm(2). Several choices of a biomaterial are available today, differing in the type of synthetic product or products that are used to manufacture them. Others incorporate an absorbable component. The goal of all of them is to prevent adhesion formation. The fixation devices that can be used are also varied. The results of laparoseopic incisional hernia repair are described. The conversion rate of these procedures is an impressive 2.4% with an enterotomy rate of 1.8%. These results affirm the low risk of this operation. The recurrence rate of 4.2% confirms the permanence of the repair. This procedure may become the standard of care in the near future.

引用

页码：1073 / 1079

页数：7

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