腹腔镜下腹股沟疝修补术

Olga Caridad Leon Gonzalez, Pedro Rolando Lopez Rodriguez, Luis Manuel Danta Fundora, Jorge Agustin Satorre Rocha, Eduardo Garcia Castillo, Lais Angelica Ceruto Ortiz
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引用次数: 0

摘要

简介:在“Enrique Cabrera”综合教学医院进行了一系列78例腹腔镜疝成形术。目的:了解围手术期事件、手术并发症及对手术患者疼痛的评价。方法:2012年1月至2018年12月,60例患者行腹腔镜下疝成形术78例;18例双侧腹股沟疝。他收集了变量:年龄、性别、疝气类型、围手术期事件和并发症,并采用疼痛量表。一个数据库被填满并进行统计处理。结果:男性以5:1的比例占优势,单侧疝平均手术时间为53.5 min,双侧疝平均手术时间为71.3 min。术中最常见的并发症为出血低(27.0%),术后血肿发生率为15.3%,复发2次疝(2.5%)。术后15天,93.3%的患者无疼痛主诉,但只有34%的患者能重新融入社会和劳动。结论:腹腔镜腹股沟疝成形术是一种较好的治疗选择,主要用于双侧疝和再生型疝。
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Repair of Inguinal Hernias by Laparascopy
Introduction: a series of 78 laparoscopic hernioplasties performed in the General Teaching Hospital “Enrique Cabrera”. Objective: to determine perioperative events, surgical complications and the evaluation of the pain referred by the operated patients. Methods: between January 2012 and December 2018, 78 hernioplasties were performed laparoscopic in 60 patients; 18 had bilateral inguinal hernias. He collected the variables: age, sex, type of hernia, perioperative events and complications, and a pain scale was applied. A database was filled andprocessed statistically. Results: the male sex predominated in a 5:1 ratio, the surgical time average was 53.5 minutes for unilateral hernias and 71.3 minutes for the bilateral ones. The most frequent complication in the transoperative period was bleeding lower in 27.0%, and in the postoperative period the hematoma was in 15.3%, it recurred two hernias (2.5%). At 15 days after surgery, 93.3% of the operated did not complain of pain, but the social and labor reintegration was of only 34% of patients. Conclusions: laparoscopic inguinal hernioplasty is a therapeutic option more, mainly in patients with bilateral and reproduced hernias.
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