门诊双边沟修复:开放的腹前与腹腔镜结局
Maria Jose Gomez-Jurado1,2,3, Mireia Verdaguer-Tremolosa4, Victor Rodrigues-Gonçalves4
1General and Digestive Surgery Department, Dr. Josep Trueta University Hospital, Girona, Spain. mjgomez.girona.ics@gencat.cat.
Hernia : the journal of hernias and abdominal wall surgery
|November 24, 2025
概括
与最小侵入性手术 (MIS) 相比,双边沟修的开放式前关 (OPA) 方法提供更短的手术时间和在第一年内降低慢性术后 inguinal 疼痛 (CPIP) 的风险. 这两种手术方法的长期结果仍然可以比较.
科学领域:
- 椎间板手术 手术 椎间板手术
- 外科手术的结果
- 最少侵入性的手术
背景情况:
- 双边沟 (BGH) 修复通常在门诊环境中进行.
- 对比开放式腹膜前部治疗方法 (OPA) 与BGH修复的微创手术 (MIS) 对于优化患者的治疗结果至关重要.
研究的目的:
- 评估OPA与MIS在门诊BGH修复中的短期和长期结果.
- 为了比较手术时间,复发率,手术部位发生率和慢性术后 inguinal 疼痛 (CPIP).
主要方法:
- 对244名接受门诊BGH修复的患者进行了回顾性队列研究 (2010-2018).
- 在OPA (修改的Wantz技术) 和MIS (TAPP或TEP) 之间的比较.
- 在术后早期 (3-12个月) 和晚期 (>12个月) 评估CPIP;通过电话采访进行长期随访.
主要成果:
- 与MIS相比,OPA组的操作时间较短 (70分钟相比110分钟),早期CPIP的风险明显较低 (OR0.091).
- 在OPA和MIS之间,复发率或手术部位发生率没有显著差异.
- 较高的BMI是与持续疼痛 (>12个月术后) 相关的唯一因素.
结论:
- 在门诊外科手术中,OPA是一种安全有效的BGH修复技术.
- 与MIS相比,OPA在操作时间和早期CPIP减少方面表现出优势.
- 可比较的长期结果表明,OPA是BGH修复中MIS的可行替代品.
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