SILS Incisional Hernia Repair: Is It Feasible in Giant Hernias? A Report of Three Cases.

Diagnostic and Therapeutic Endoscopy Pub Date : 2011-01-01 Epub Date: 2011-08-11 DOI:10.1155/2011/387040
Umut Barbaros, Tugrul Demirel, Aziz Sumer, Ugur Deveci, Mustafa Tukenmez, Mehmet Ibrahim Cansunar, Murat Kalayci, Ahmet Dınccag, Ridvan Seven, Selcuk Mercan
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引用次数: 3

Abstract

Aim. Three incisional ventral abdominal wall hernias were repaired by placing a 20 × 30 cm composite mesh via single incision of 2 cm. Methods. All three cases had previous operations and presented with giant incisional defects clinically. The defects were repaired laparoscopically via single incision with the placement of a composite mesh of 20 × 30 cm. Nonabsorbable sutures were needed to hang and fix the mesh only in the first case. Double-crown technique was used in all of the cases to secure the mesh to the anterior abdominal wall. Results. The mean operation time was 120 minutes. The patients were mobilized and led for oral intake at the first postoperative day. No morbidity occurred. Conclusion. Abdominal incisional hernias can be repaired via single incision with a mesh application in experienced centers.

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SILS切口疝修补术:在巨大疝中是否可行?三例报告
的目标。采用单切口2cm放置20 × 30 cm复合补片修复3例切口腹壁疝。方法。3例患者均有手术史,临床表现为巨大的切口缺损。腹腔镜下单切口修复缺损,放置20 × 30 cm的复合网片。仅在第一例病例中需要不可吸收缝线来悬挂和固定补片。所有病例均采用双冠技术将补片固定在前腹壁。结果。平均手术时间120分钟。术后第一天动员并引导患者口服。无发病。结论。在经验丰富的中心,腹部切口疝可以通过单切口与补片应用进行修复。
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