Hybrid technique in the treatment of the huge abdominal incisional hernia:An analysis of clinic therapeutic effect
Abstract:Objective To analyze the clinical value of the hybrid technique in the treatment of the huge abdominal incisional hernia. Methods The clinical data of 347 cases of huge abdominal incisional hernia admitted form January 2008 to May 2013 in Department of Hernia and Abdominal Wall Surgery,Beijing Chaoyang Hospital Affiliated to Capital University of Medical Sciences were analyzed retrospectively. The operational course and the postoperative status among open (93 cases),laparoscopic (152 cases) and the hybrid technique (102 cases) performed in huge abdominal incisional hernia were compared. Results The meantime of operation in the laparoscopic group[(67.7 ± 28.8)min]was shortest and that in the hybrid group[(103.1±30.6)min] was longest. The length of incision in the hybrid groupp[(8.2±4.0)cm] was shorter than that in the open group[(15.1±4.81)cm]. The hospitalization stay in the open group and hybrid group was longer than that in the laparoscopic group. The follow-up ranged from 6 to 48 months. Twenty cases developed complication in the open group,30 in the laparoscopic group and 8 in the hybrid group. One case developed recurrence in the open group,1 in the laparoscopic group and none in the hybrid group. All the recurrent cases were cured by hybrid technique in 2 years after operation. Conclusion The hybrid technique is better than the other two in the treatment of the huge abdominal incisional hernia.
Keywords:huge abdominal incisional herniahybrid techniqueherniorrhaphylaparoscopy
Publication Date:2014-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:3( 432-434 )
