腹膜内补片与腹腔镜辅助腹疝补片修补小原发性腹疝:随机对照试验

Harish Kanuri, A. Dey, T. Mittal, S. Tripathi:, V. Malik
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摘要

目的:本研究的目的是比较和评估腹腔镜辅助复合补片补片与腹腔镜腹腔内补片补片治疗原发性腹侧小中线疝的短期疗效。材料和方法:2017年1月至2019年5月,新德里Sir Ganga Ram医院普通和腹腔镜外科连续收治80例小(<2 cm)中线腹疝患者纳入研究,随机分为两组。A组采用经典屏障平补片进行腹腔镜腹腔内垫补片修补,B组采用腹腔镜辅助腹疝补片修补。随访时评估的参数为术后早期疼痛(视觉模拟评分)、伤口并发症、早期复发和住院时间。结果:腹腔镜腹腔内补片组术后早期疼痛较多,差异有统计学意义。术后仅腹腔镜腹腔内补片组需要使用额外的镇痛药。两组住院时间差异有统计学意义。结论:对于缺损尺寸<2 cm的原发性腹中线疝,腹腔镜辅助复合补片补片修补是可行且安全的。它引起的疼痛较少,并且需要较少使用额外的镇痛药,使患者能够更早出院。
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Intraperitoneal onlay mesh versus laparoscopy-assisted ventral hernia patch mesh repair in small primary ventral hernias: A randomised control trial
Aims: The aim of this study is to compare and evaluate short-term outcomes of laparoscopy-assisted composite patch mesh repair versus laparoscopic intraperitoneal onlay mesh in small primary midline ventral hernias. Materials and Methods: Eighty consecutive patients with small (<2 cm) midline ventral hernia admitted to the Department of General and Laparoscopic surgery at Sir Ganga Ram Hospital, New Delhi, from January 2017 to May 2019 were included in the study and randomised into two groups. Group A included patients who underwent laparoscopic intraperitoneal onlay mesh repair with the classical barrier flat mesh and Group B patients underwent laparoscopy-assisted ventral hernia patch-mesh repair. Parameters assessed at the follow-up were early post-operative pain by Visual Analogue Scale score, wound complications, early recurrence and hospital stay. Results: Early post-operative pain was more in the laparoscopic intraperitoneal onlay mesh group and the difference was statistically significant. Usage of additional analgesia in the post-operative period was required only in the laparoscopic intraperitoneal onlay mesh group. There was a statistically significant difference between the two groups in terms of hospital stay. Conclusion: For primary midline ventral hernia, with defect size <2 cm, laparoscopy-assisted composite patch mesh repair is feasible and safe. It causes less pain and necessitates less usage of additional analgesia enabling patients to be discharged earlier.
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