[The results of clinical application of the mesh with anti-adhesive fluoropolymer coating in laparoscopic intraperitoneal repair of primary ventral hernia].

Q4 Medicine
A M Belousov, S L Nepomnyashchaya, V N Danilin, K O Timofeeva, V P Armashov, S A Makarov, N L Matveev
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引用次数: 0

Abstract

Objective: The purpose of the study was to evaluate the results of using fluoropolymer-coated mesh during intraperitoneal onlay mesh hernia repair in patients with primary ventral hernias.

Material and methods: The multicenter, non-randomized, controlled clinical study included 88 patients of both sexes who were operated on using a laparoscopic approach using the IPOM technique for a primary ventral hernia. The duration of observation ranged from 3 to 12 months. In the main group, 48 patients received fluoropolymer-coated meshes (Ftorex). A comparison was made with a retrospective group of 40 patients who were treated with anti-adhesive collagen-coated meshes (Parietene composite, Parietex Composite, Symbotex).

Results: The number of early and late postoperative complications in the groups did not have significant differences, at the same time, their number was lower in the group of patients in whom fluoropolymer-coated meshes were used. Most of the complications corresponded to Clavien-Dindo class I and II and did not pose a significant threat to health. There were no recurrences of hernias observed in patients included in the study. There were slightly more adhesions in the fluoropolymer-coated mesh group (35.4% vs. 25.0% in the collagen-coated mesh group). The quality of life of patients in the study groups did not differ.

Conclusion: In laparoscopic IPOM hernia repair fluoropolymer-coated meshes are not inferior in effectiveness and safety to traditionally used collagen-coated meshes and can be recommended for use in patients with primary ventral hernias.

[在腹腔镜腹膜内原发性腹股沟疝修补术中应用带防粘氟聚合物涂层网片的临床效果]。
研究目的该研究的目的是评估原发性腹股沟疝患者在腹腔内镶嵌网片疝修补术中使用含氟聚合物涂层网片的效果:这项多中心、非随机对照临床研究纳入了88名使用IPOM技术腹腔镜手术治疗原发性腹股沟疝的男女患者。观察时间从 3 个月到 12 个月不等。在主要组别中,48 名患者接受了氟聚合物涂层网片(Ftorex)。结果显示,术后早期和晚期疝气患者的数量均有所下降:结果:各组术后早期和晚期并发症的数量无明显差异,同时,使用含氟聚合物涂层网片的患者术后并发症的数量较少。大多数并发症属于克拉维恩-丁多(Clavien-Dindo)Ⅰ级和Ⅱ级,不会对健康造成重大威胁。研究中没有发现疝气复发的患者。氟聚合物涂层网片组的粘连率稍高(35.4% 对胶原涂层网片组的 25.0%)。研究组患者的生活质量没有差异:在腹腔镜 IPOM 疝修补术中,涂氟聚合物的网片在有效性和安全性方面并不逊色于传统使用的涂胶原蛋白的网片,可推荐用于原发性腹股沟疝患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Khirurgiya
Khirurgiya Medicine-Medicine (all)
CiteScore
0.70
自引率
0.00%
发文量
161
期刊介绍: Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень
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