Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | smbt, 23 martie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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CURA CHIRURGICALĂ PE CALE LAPAROSCOPICĂ A EVENTRAŢIILOR POSTOPERATORII
- ANALIZA PRIMELOR CAZURI -
Iustina Gabriela Pusel (1), G. Veselu (2), M. Păduraru (2)
1) Departamentul de Chirurgie, Klinikum Ingolstadt, Germania
2) Clinica de Chirurgie, Spitalul Clinic „Prof. Dr. C. Angelescu”
Universitatea „Titu Maiorescu”, Bucureşti, România
Jurnalul de chirurgie (Iaşi). 2013; 9(3): 249-252.
Full text: 
Format PDF (Română/Romanian)

Abstract:

Laparoscopic repair of incisional hernias is associated with low rate of postoperative pain and morbidity. However the choices of the mesh and fixation methods are crucial issues in preventing complications and recurrence. We present herein the initial experience using lightweight polypropylene mesh (DynaMesh® Intra Peritoneal Onlay Mesh). MATERIAL AND METHODS: We selected nine patients with parietal defect lesser then 5 cm in diameter and without major comorbidities (ASA I and II). The procedure was performed using three or four trocars inserted in the lateral left quadrant of the abdomen. Adhesiolysis and hernia sac resection was performed in every patient. The mesh was placed in usual manner and stapled using non absorbable tacks. RESULTS: The men to women ratio was 1 to 8. The median age was 53 years old (range 45-58). The parietal defect has a median diameter of 3 cm (range 2-5). The mesh dimensions were 10 x 15 cm and 15 x 20 cm respectively. The choice of mesh size was tailored to allow a parietal defect overlap of minimum 5 cm. The operative time ranged 60 to 90 minutes (median 65 minutes). No postoperative morbidity was noted. The median hospital stay was 3 days (range 3-4). CONCLUSIONS: The laparosopic repair of incisional hernias is a feasible and safe technique. The case selection is normal during the learning curve and allows the best results in term of intraoperative accidents and postoperative morbidity.

KEY WORDS: LAPAROSCOPIC SURGERY; VENTRAL INCISIONAL HERNIAS; POLYPROPYLENE MESH; LIGHTWEIGHT MESH


SHORT TITLE: Eventraţii postoperatorii – abord laparoscopic
               Incisional hernias – laparoscopic approach

HOW TO CITE: Pusel IG, Veselu G, Păduraru M. [Laparoscopic approach for incisional hernias; initial experience] Jurnalul de chirurgie (Iaşi). 2013; 9(3): 249-252. DOI: 10.7438/1584-9341-9-3-7.


: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.