腹腔鏡疝修補(bǔ)術(shù)(英文版)LaparoscopicVentralHerniaRepair

腹腔鏡疝修補(bǔ)術(shù)(英文版)LaparoscopicVentralHerniaRepair第一頁(yè)，共14頁(yè)。WhatisaHernia?DEFECTINTHEFASCIAThefasciaisthestrengthlayersurroundingtheabdominalcavityAdefectinthatlayerallowsintra-abdominalcontents(i.e..fat,intestines)tobulgethroughthedefect.第二頁(yè)，共14頁(yè)。WhereDoHerniasOccur?AbdominalWallAtaprevioussurgicalincisionAttheumbilicusAbovetheumbilicus(epigastrium)Intheinguinalregion(groin)第三頁(yè)，共14頁(yè)。WhoRequiresTreatment?PainorDiscomfortEnlargingHerniasIntestinalObstructionNausea,Vomiting,AbdominalDistentionIncarcerationorStrangulationHerniaContentsaretrappedandpainfulAbdominalPainand/oraPainfulBulgeBloodSupplytotrappedcontentsmaybecompromised第四頁(yè)，共14頁(yè)。PreoperativeWork-upEvaluationbySurgeonPhysicalExaminationCTScanMayormaynotbeneededAtthediscretionofthesurgeon第五頁(yè)，共14頁(yè)。SurgicalTechniqueKeyComponents:Reducetheherniacontents“Patch”thedefectinthefasciawithMeshMeshisincorporatedintotheabdominalwallbythebodyReinforcesthedefectinthefasciaSecuretheMeshtotheabdominalwallPreventmovementofthemeshpriortoincorporation第六頁(yè)，共14頁(yè)。LaparoscopicVentralHernia10555LaparoscopicPortsHernia第七頁(yè)，共14頁(yè)。LaparoscopicInguinalHernia105LaparoscopicPortsHerniaHernia5第八頁(yè)，共14頁(yè)。VentralHerniaDefect第九頁(yè)，共14頁(yè)。MeshUsedtoPatchDefect第十頁(yè)，共14頁(yè)。MeshSecuredtoAbdominalWall

第十一頁(yè)，共14頁(yè)。CompletedRepair

第十二頁(yè)，共14頁(yè)。ComplicationsBleedingMeshIn