经腹壁行腹膜前鼠蹊疝气修补术ppt课件.pptVIP

美国自发性脑出血处理指南课件慢性鼻炎吃什么药好慢性鼻窦炎吃什中医中药治疗高血脂饮食保健资料子宫肌瘤合并胆囊炎围手术期护理中医药对冠心病稳定性心绞痛长期治疗价值 慢性单纯性苔藓痤疮白癜风教材课程 Anterior pre-peritoneal inguinal hernioplasty 經腹壁行腹膜前鼠蹊疝氣修補術 溫義輝 奇美醫學中心 Yih-Huei Uen, MDDivision of General Surgery, Department of Surgery, Chi Mei Foundation Medical Center, Tainan, Taiwan, ROC. Design(I) Modified device /technique of PHS: An improved method for deploying the polypropylene underlay patch of the PROLEN Hernia System: American Surgeon 2007 May, Yih-Huei Uen 通過專利審核 Fig. 1: The procedures of development of a modified device of PHS. Fig. 2: The procedures of intra-pocket manipulation Table 1. Results 0 0 0 0 1 1 35.7 ±5.4 41.3 ±3.2 Modified group N=184 0.05 1 Post OP recurrence (follow up2years) *Student’s t test **Chi-square test 0 Mesh extrusion 0 Hydrocele 0 Intestinal obstruction 0 Wound infection 0.05 1 Morbidity** 0.05 31.6 ±4.8 Direct hernioplasty 0.05 37.2 ±5.1 Indirect hernioplasty OP time (mean ± SD)* P value Original group N=32 Comparative Laparoscopic Evaluation of the “ Original” versus “ Modified” Design of PROLENE Hernia System in A Porcine-groin Hernia-Repair Model Study(II) Material and Method 30 uncastracted male pig (average BW: 24Kg) Unilateral anterior inguinal hernioplasty Group Original PHS(n=10) Modified PHS with onlay fixation (n=10) Modified PHS without onlay fixation (n=10) Hand–assisted laparoscopic stress-loading test using dynamometer Result (I) :The laparoscopy of the preperitoneally positioned mesh prosthesis§ 10 0 0 10 0 10 group 3 (n=10) 10 7 Entire MOP+ 0 3 single or double area 0.05 Covering boundary 0 0 insufficient 10 10 sufficient 0.05 Obliteration of fascial defect 0 3 moderate or marked wrinkle 10 7 flat to slight wrinkle 0.05 Configuration of prosthesis P value* group 2 (n=10) group 1 (n=10) Result (II): Comparsion of the results of stress-loading test Bursting strength lb P0.01 Group2 vs Group1 and 3 P0.05 Group1 vs Group 3 10.57± 0.46 23.99± 0.89 10.20± 1.11 Discussi