背景:与其他类型的腹部突起相比,Spigelian疝不是很常见。在腹部突起的假体修复中,网片固定和缺损重叠是一个开放的问题,因为它们是并发症的来源。新开发的触手形网片已用于确保在腹部疝的修复中具有更广泛的缺陷重叠的无固定修复。这项研究描述了用触手网片对Spigelian疝进行无固定修复的长期结果。
方法:使用由中心体和集成的放射臂组成的专有网状物修复54例患者的Spigelian疝。植入物位于腹膜前皮下,带子用针传递器穿过腹部肌肉组织,然后,筋膜闭合后,在皮下层剪短。
结果:穿过腹壁的带子的摩擦力用于将网状物固定到位,保证在没有固定的缺陷上的广泛重叠。在6至84个月(平均64个月)的长期随访中,并发症发生率很低,但没有报告复发。
结论:假体的触手带系统允许一个简单的,快速安全的无固定放置,给予广泛的重叠,避免术中并发症。大大减少的疼痛和可忽略的数量的术后并发症是术后结果的特征。
BACKGROUND: Compared to other types of abdominal protrusions, Spigelian hernias are not very common. In prosthetic repair of abdominal protrusions, mesh fixation and defect overlap are an open issue, as they are a source of complications. A newly developed tentacle-shaped mesh has been used to ensure a fixation-free repair with a broader defect overlap in the repair of abdominal hernias. This study describes the long-term results of a fixation-free repair of Spigelian hernias carried out with a tentacle mesh.
METHODS: A proprietary mesh composed of a central body with integrated radiating arms was used for repairing Spigelian hernias in 54 patients. The implant was positioned in preperitoneal sublay, and the straps were delivered across the abdominal musculature with a needle passer, and then, after fascia closure, cut short in the subcutaneous layer.
RESULTS: The friction of the straps passing through the abdominal wall served to hold the mesh in place, guaranteeing a wide overlap over the defect without fixation. In a long-term follow-up of 6 to 84 months (mean 64 months), a very low rate of complications occurred, but no recurrence was reported.
CONCLUSIONS: The tentacle strap system of the prosthesis allowed for an easy, fast and safe fixation-free placement granting a wide overlap, avoiding intraoperative complications. Greatly reduced pain and a negligible amount of postoperative complications characterized the postoperative outcome.