腹腔镜和开腹技术腹股沟疝修补术的前瞻性对比研究

Abhishek Kumar, Sunil Chumber
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摘要

背景:腹股沟疝修补术越来越多地采用腹腔镜技术;然而,目前缺乏相关并发症发生率的全面数据。为了填补这一空白,我们开展了一项前瞻性研究,对比腹腔镜和开腹腹股沟疝手术的早期效果。研究的目的是评估和对比开腹和腹腔镜技术治疗腹股沟疝的效率和可靠性:2011年至2014年期间,印度新德里全印度医学科学研究所开展了一项前瞻性研究,以评估腹股沟疝修补术中开腹和腹腔镜方法的差异。研究包括开放式/腹腔镜腹股沟疝修补术各40例:结果:共调查了 80 例患者,其中 40 例接受了开放式修补术,40 例接受了腹腔镜手术。在这项研究中,年龄最大的患者为 77 岁,最小的患者为 25 岁。绝大多数患者(49%)处于人生的第四至第六个十年。大部分切口疝都是由早期中线下方疤痕形成的。共有 40 名患者接受了开腹和腹腔镜手术,其中女性 43 名,男性 37 名。 结论通过腹腔镜手术进行腹股沟疝修补术的效果令人鼓舞,是目前广泛使用的一种技术。与开腹修补术相比,腹腔镜修补术具有术后疼痛减轻、住院时间缩短、短期问题减少等优点。腹腔镜疝气手术还能降低伤口感染的风险,更早地恢复肠道功能,更快地恢复正常活动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A comparative and prospective study of ventral hernia repair by laparoscopic and open technique
Background: Ventral hernia repair is becoming more common through laparoscopic techniques; however, there is a lack of comprehensive data on the associated complication rates. We undertook a prospective study to contrast the early establishments of laparoscopic and open ventral hernia surgeries in order to fill this gap. The aim of the study was to assess and contrast the efficiency and reliability of open and laparoscopic techniques for the treatment of ventral hernias. Methods: A prospective study was carried out at All India Institute of Medical Science, New Delhi, India between 2011 and 2014 to assess the dissimilarities between open and laparoscopic approaches in ventral hernia repairs. The study included a total of 40 cases each for open/laparoscopic ventral hernia repair procedures. Results: Eighty cases were investigated, forty of which underwent open repairs and forty of which underwent laparoscopic procedures. In this study, the oldest patient was 77 years old, and the youngest patient was 25 years old. The vast majority (49%) of patients were in their fourth to sixth decades of life. Incisional hernias were in bulk, that had formed from earlier midline lower scars. In both open and laparascopic surgery, there were 40 patients- 43 females and 37 males.   Conclusions: Ventral hernia repair via laparoscopic surgery is showing encouraging results and is currently a widely used technique. When compared to open repairs, it has benefits like decreased postoperative pain, shorter hospital stays, and fewer short-term problems. Laparoscopic hernia surgery also results in a lower risk of wound infections, an earlier restoration of bowel function, and a quicker return to regular activities.
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