腹腔镜疝成形术治疗腹股沟疝的近期和远期效果

Q4 Medicine
В. Зайцев, В. Кошкина, Д. А. Хубезов, А. Юдин, В. Барсуков, Oleg V. Zaitsev, A. V. Koshkina, D. A. Khubezov, Vladimir A. Yudin, V. V. Barsukov, I. Bragina
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引用次数: 0

摘要

本研究的目的是对腹腔镜腹股沟疝成形术的近期和长期结果进行比较分析,并与不固定网状假体进行比较。方法和材料。基础组包括77例接受腹腔镜腹股沟疝成形术的患者,未使用疝修补器固定补片。对照组76例行腹腔镜腹股沟疝成形术,疝修补器补片固定。为了评估术后时间,研究了以下标准:术后疼痛的严重程度(视觉模拟量表);术后并发症Clavien-Dindo量表;超声诊断腹股沟疝早期复发。两组术后并发症的严重程度均未超过i级。在整个并发症列表中,观察到:手术区域疼痛,体温升高38.5℃以上,急性尿潴留,阴囊肿胀血肿,血肿。术中无转换、脏器及血管结构损伤病例。两组的并发症无明显差异,也不依赖于腹腔镜腹股沟疝成形术的方法:用疝修补器固定假体或不固定。腹腔镜腹股沟疝成形术加补片固定术患者术后早期疼痛程度明显增高。术后1天、出院时及术后6个月对照检查均未发现补片假体脱位及腹股沟疝复发病例。所获得的数据表明腹腔镜腹股沟疝成形术中聚丙烯网片不固定疝固定器的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Immediate and long-term results of laparoscopic hernioplasty in inguinal hernias with and without mesh endoprosthesis fixation
The objective of this study was to conduct comparative analysis of the immediate and long-term results of laparoscopic inguinal hernioplasty performed with and without fixation of the mesh endoprosthesis.Methods and materials. The base group included 77 patients who underwent laparoscopic inguinal hernioplasty without fixation of the mesh by herniostepler. The control group included 76 patients who underwent laparoscopic inguinal hernioplasty with mesh fixation by herniostepler. To assess the postoperative period, the following criteria were studied: the severity of postoperative pain on a Visual Analog Scale; postoperative complications on the Clavien-Dindo scale; an early recurrence of inguinal hernias determined by ultrasound.Results. In both groups, the severity of postoperative complications did not exceed grade I. Among the entire list of complications, there were observed: pain in the area of surgery, an increase in body temperature above 38.5 °C, acute urinary retention, swelling and hematoma of the scrotum, seroma. There were no cases of conversion, intraoperative damage to internal organs and vascular structures. Complications in both groups do not differ significantly and do not depend on the method of laparoscopic inguinal hernioplasty: with fixation of the endoprosthesis by herniostepler or without fixation. The level of pain in the early postoperative period in patients operated by laparoscopic inguinal hernioplasty with mesh fixation was significantly higher. During control examinations of patients on the day after surgery, at the time of discharge and 6 months after surgery, no cases of dislocation of mesh endoprosthesis and relapse of inguinal hernia were detected.Conclusion. The obtained data indicate the effectiveness of laparoscopic hernioplasty in inguinal hernias with polypropylene mesh without fixing with herniostepler.
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来源期刊
CiteScore
0.30
自引率
0.00%
发文量
40
审稿时长
8 weeks
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