Laparoscopic incisional hernia repair patch of treatment techniques.docVIP

 PAGE \* MERGEFORMAT 7 Laparoscopic incisional hernia repair patch of treatment techniques [Abstract] Laparoscopic incisional hernia repair patch are minimally invasive, fewer complications, recurrence rate, the advantages do not extend the recovery period is a safe and reliable surgical technique, especially in large hernia, complicated hernia, and treatment of recurrent hernia on the edge. This combined with their own clinical experience, proposed laparoscopic mesh repair of incisional hernia treatment. [Keywords:] Laparoscopy; abdominal wall hernia; mesh repair 1 laparoscopic mesh repair of abdominal incisional hernia treatment Surgery under general anesthesia, the patient supine position, the position can be adjusted according to position hernia. The use of open technology or visual tube into the abdomen, insert the 10 mm or 12 mm casing, into the ventral filled CO2, pneumoperitoneum pressure of 10 ~ 15 mm Hg. into 30 or 45 laparoscope. exploratory abdominal adhesions and organ injury whether and under direct vision into two 5 mm casing. insert the location of the casing can cut adjust the location of hernia. specific approach is the opposite side of the abdomen in the hernias from the abdominal incision to the abdominal hernia as an arc toward, in this arc, select the puncture point. adjusted perspective, the use of scissors and electric hook separation of adhesions, hernia contents back satisfied. sure no bleeding and intestinal injury, defect under direct vision to determine the location, size and edge, but also pay attention to whether there are other parts of the defect, the light source by palpation and laparoscopic abdominal wall mark the edge of the defect. According to defect size and select the appropriate patch trim them, then patch a quarter point or six points of the set to a non-absorbable suture. The tail retained 10 ~ 15 cm, each root in the abdominal wall suture marked the corresponding point. will patch up, down, left and