Original Article·Operation, How To Do It
Application value of combined open and laparoscopic incisional hernia repair in the treat-ment of recurrent incisional hernia
Chen Fuqiang, Shen Yingmo, Wang Fan, Zhu Yilin, Liang Chen, Chen Jie, Zou Zhenyu
Published 2023-09-20
Cite as Chin J Dig Surg, 2023, 22(9): 1113-1119. DOI: 10.3760/cma.j.cn115610-20230820-00026
Abstract
ObjectiveTo investigate the application value of combined open and laparos-copic incisional hernia repair (hereinafter referred to as hybrid technique) in the treatment of recurrent incisional hernia.
MethodsThe retrospective and descriptive study was conducted. The clinical data of 36 patients with recurrent incisional hernia who were admitted to the Affiliated Beijing Chaoyang Hospital of Capital Medical University from January 2015 to December 2021 were collected. There were 10 males and 26 females, aged 62(range, 25-83)years. All patients underwent incisional hernia repair using the hybrid technique. Observation indicators: (1) intraoperative situa-tions; (2) postoperative situations; (3) follow-up. Measurement data with normal distribution were represented as Mean±SD, and measurement data with skewed distribution were represented as M(range). Count data were described as absolute numbers.
Results(1) Intraoperative situations. All 36 patients did not undergo component separation and successfully closed the hernia defect before completing the surgery. The operation time, defect area and area of mesh of the 36 patients were (102±41)minutes, (73±39)cm2 and 300(range, 150-600)cm2. Of the 36 patients, 9 cases required complete removal of the previous mesh, 2 cases had partial removal of the previous mesh and 25 cases did not require mesh removal. Two of the 36 patients had intestinal serosal tears, which needed suture repair during the operation. (2) Postoperative situations. Eight of the 36 patients had post-operative complications, including 6 cases of seroma, 1 case of subcutaneous hematoma and 1 case of undetected iatrogenic intestinal injury during the operation. The duration of the postoperative hospital stay of the 36 patients was 14(range, 7-57)days. (3) Follow-up. All 36 patients were followed up for 64 (range, 13-96)months. During the follow-up period, 2 cases had hernia recurrence and 1 case had intestinal obstruction.
ConclusionThe hybrid technique in the treatment of recurrent incisional hernia is safe and feasible.
Key words:
Hernia; Incisional; Recurrence; Open surgery; Hybrid technique; Com-plications; Laparoscopy
Contributor Information
Chen Fuqiang
Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital,Capital Medical University, Beijing 100043, China
Shen Yingmo
Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital,Capital Medical University, Beijing 100043, China
Wang Fan
Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital,Capital Medical University, Beijing 100043, China
Zhu Yilin
Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital,Capital Medical University, Beijing 100043, China
Liang Chen
Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital,Capital Medical University, Beijing 100043, China
Chen Jie
Department of Hernia and Abdominal Wall Surgery, Peking University People's Hospital, Beijing 100044, China
Zou Zhenyu
Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital,Capital Medical University, Beijing 100043, China
