补片修补造口旁疝38例疗效

目的总结造口旁疝应用Keyhole补片及超普平片进行疝修补术的疗效。 方法回顾性分析2005年1月至2018年4月，上海交通大学附属第六人民医院采用Keyhole补片及超普平片对38例造口旁疝患者行疝修补术治疗的临床资料。 结果38例造口旁疝患者均采用置入补片的疝修补术实施修补。其中15例行开放手术，6例行纯腔镜下腹膜内补片植入手术，5例行开放结合腔镜的杂交手术，12例行Lap-re-Do手术。手术时间40～300 min，平均（150±72）min。全部随访时间2～46个月，其中造口旁疝复发2例（缝合疝环、补片加固），浆液肿4例，切口感染3例，造口肠管血运轻度障碍1例，均处理痊愈。 结论造口旁疝应积极应用补片行疝修补手术，疗效可靠。术式需根据术前仔细评估和术中情况做相应选择。

Evaluation of mesh repair for parastomal hernias: A report of 38 cases

ObjectiveTo summarize the mesh repair with open Onlay or laparoscopic keyhole mesh for the treatment of parastomal hernia. MethodsThirty-eight cases with parastomal hernia were treated in Sixth People's Hospital Affiliated to Shanghai Jiao tong University from January 2005 to April 2018, and the clinical data were analyzed retrospectively. ResultsAll of the thirty-eight patients had hernioplasty with keyhole meshor Ultrapro mesh: 15 underwent open hernia repair plus stoma reconstruction, 6 were laparoscopic IPOM hernia repair, 5 were hybrid repair and 12 were Lap-re-Do repair. The mean operating time was (150±72) minutes (of 40 to 300 minutes). The total time of follow-up was 2 to 46 months. The postoperative complications included 2 cases of hernia recurrence, 4 cases of seroma, 3 cases of wound infection and 1 case of slight intestinal circulation disorder. All were cured after therapy. ConclusionThe parastomal hernia repair with meshis safe and effective, which should be individualized by careful preoperative evaluation and actual intraoperative conditions.