METHODS: Thirty patients undergoing eTEP RS without posterior rectus sheath closure were assessed before and 3 months after surgery using CT scan images. Key measurements analyzed included the distance between linea semilunaris (X2), eccentricity over the Cord (c/a Cord), superior eccentricity (c/a Sup), Y2, and the superior perimeter of the abdomen. The Ellipse 9 tool, which provides graphical images and numerical representations, was utilized alongside patient-reported outcomes to assess perceived abdominal changes.
RESULTS: The study group exhibited a trend toward a flatter abdomen with reduced distance between linea semilunaris(X2). However, 17% of patients developed upper abdominal bulging (5). Significant differences in c/a Cord, c/a Sup, Y2, and the superior perimeter of the abdomen, confirmed with Bonferroni corrections, were noted between bulging (5 patients) and non-bulging groups (25 patients). There was a notable disparity between patient perceptions and objective outcomes.
CONCLUSIONS: The eTEP RS procedure improved abdominal contour in most patients from a selected cohort. The Ellipse 9 tool was valuable for the objective analysis of these changes. The cause of bulging post-eTEP RS is probably multifactorial. Notably, there was often a discrepancy between patient perceptions of bulging and objective clinical findings.
方法:30例接受eTEPRS而没有后直肌鞘闭合的患者在手术前和手术后3个月使用CT扫描图像进行评估。分析的关键测量值包括半毛线之间的距离(X2),电线上的偏心度(c/a电线),优越的偏心率(c/aSup),Y2,和腹部的上周长。椭圆9工具,提供图形图像和数字表示,与患者报告的结果一起使用,以评估感知的腹部变化。
结果:研究组表现出腹部平坦的趋势,半月形线(X2)之间的距离减小。然而,17%的患者出现上腹部膨出(5)。C/A线的显著差异,c/aSup,Y2和腹部的上围,通过Bonferroni更正确认,在凸出组(5例患者)和非凸出组(25例患者)之间观察到。患者的看法和客观结果之间存在显著差异。
结论:eTEPRS手术改善了选定队列中大多数患者的腹部轮廓。椭圆9工具对于这些变化的客观分析是有价值的。eTEP后RS膨胀的原因可能是多方面的。值得注意的是,患者对膨胀的看法与客观的临床发现之间通常存在差异。