Laparoscopic incisional hernia repair: A review of the literature

被引：73
作者：
Rudmik L.R. [1 ]
Schieman C. [1 ]
Dixon E. [1 ]
Debru E. [1 ]
机构：
[1] Department of Surgery, University of Calgary, Calgary, Alta. T2T 2B9
来源：
Hernia | 2006年 / 10卷 / 2期
关键词：
Hernia; Incisional; Laparoscopic; Open; Review;
D O I：
10.1007/s10029-006-0066-6
中图分类号：
学科分类号：
摘要：
Incisional hernia is a common long-term complication of abdominal surgery. Historically the open repair with or without mesh was the mainstay of treatment. However, many recently published laparoscopic repair studies have challenged surgeons to re-evaluate which technique provides the best short and long-term outcomes. A Medline search of all English-language literature was performed using the keywords 'incisional', 'ventral', 'hernia', 'laparoscopic', and 'open'. Further references were obtained by cross-referencing the bibliography in each paper. Current evidence suggests that the laparoscopic incisional hernia repair is the optimal surgical treatment. A laparoscopic repair appears to shorten hospital stay, decrease perioperative complication rates, and decrease recurrence rates. However, there is no randomized trial utilizing a standardized complication grading system making it difficult to draw a definitive conclusion as to which repair is best. © Springer-Verlag 2006.
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页码：110 / 119
页数：9
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