腹腔镜疝修补术(英文版)LaparoscopicVentralHerniaRepair讲课稿.ppt

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1、腹腔镜疝修补术(英文版)LaparoscopicVentralHerniaRepairWhereDoHerniasOccur?AbdominalWallAtaprevioussurgicalincisionAttheumbilicusAbovetheumbilicus(epigastrium)Intheinguinalregion(groin)WhoRequiresTreatment?PainorDiscomfortEnlargingHerniasIntestinalObstructionNausea,V

2、omiting,AbdominalDistentionIncarcerationorStrangulationHerniaContentsaretrappedandpainfulAbdominalPainand/oraPainfulBulgeBloodSupplytotrappedcontentsmaybecompromisedPreoperativeWork-upEvaluationbySurgeonPhysicalExaminationCTScanMayormaynotbeneededAtthedis

3、cretionofthesurgeonSurgicalTechniqueKeyComponents:Reducetheherniacontents“Patch”thedefectinthefasciawithMeshMeshisincorporatedintotheabdominalwallbythebodyReinforcesthedefectinthefasciaSecuretheMeshtotheabdominalwallPreventmovementofthemeshpriortoincorpor

4、ationLaparoscopicVentralHernia10555LaparoscopicPortsHerniaLaparoscopicInguinalHernia105LaparoscopicPortsHerniaHernia5VentralHerniaDefectMeshUsedtoPatchDefectMeshSecuredtoAbdominalWallCompletedRepairComplicationsBleedingMeshInfectionInjurytoAdjacentOrgansR

5、ecurrenceAdvantagesDecreasedWoundComplicationsPotentially,theorizedecreaserecurrences;exposesentireundersurfacetoidentifysmalldefectsthatleadtorecurrencesLaparoscopicrepaircandiagnosethe“Swisscheese”herniasEffectivemodalityforrecurrentherniasthathavebeenr

6、epairedanteriorly(Open)此课件下载可自行编辑修改，仅供参考！感谢您的支持，我们努力做得更好！谢谢