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    請使用永久網址來引用或連結此文件: http://libir.tmu.edu.tw/handle/987654321/13596


    題名: Prevention of trocarwound hernia in laparoscopic bariatric operation
    作者: 魏柏立;黃銘德
    Chiu CC;Lee WJ;Wang W;Wei PL;Huang MT
    貢獻者: 醫學系外科學科
    日期: 2006
    上傳時間: 2009-10-28 12:20:17 (UTC+8)
    摘要: BACKGROUND: Morbid obesity is a risk for fascial wound dehiscence and incisional hernia after abdominal surgery. The development of minimally invasive surgical techniques has led to a dramatic decrease in these complications. However, laparoscopic surgery may still be followed by trocar-wound herniation. Various methods have been advocated for its prevention.

    METHODS: The records of 752 patients who underwent laparoscopic bariatric operations (610 mini-gastric bypass and 142 gastric banding) as treatment for morbid obesity between October 2001 and June 2005, with regular follow-up, were retrospectively reviewed. In all patients, the fascial layer of trocar wounds was not closed. Instead, a Surgicel plug was inserted into the muscle layer of trocar wounds of 10- and 12-mm diameter.

    RESULTS: 2 male patients in the mini-gastric bypass group developed a trocar wound hernia, for an overall prevalence of 0.33% (2/610). The intervals between surgery and diagnosis were 3 and 5 months respectively. In these 2 patients, the hernia occurred at the 12-mm trocar wound of the left midclavicular line, 2-3 cm below the costal margin, outside the left rectus muscle. These 2 patients have not developed intestinal obstruction as a consequence of the hernia, and have not undergone hernia repair. No patient in the gastric banding group has been found to develop a hernia.

    CONCLUSION: With our technique, the prevalence of trocar-wound hernia after laparoscopic bariatric surgery has been very rare
    關聯: Obes Surg.(16):913-918.
    資料類型: article
    顯示於類別:[外科學科] 期刊論文

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