Clinical analysis of laparoscopic abdominal incisional hernia repair

Abstract

Objective To discuss the clinical efficacy of laparoscopic minimally invasive surgery for the treatment of abdominal incisional hernia. Methods The clinical data of 55 patients undergoing laparoscopic repair of abdominal incisional hernia in the General Hospital of Armed Police Frontier Garrison from September 2014 to August 2016 were retrospectively analyzed. The patients were actively prepared before operation, and the vital signs were closely monitored after operation. Complications prevention and discharge guidance were performed. Results All operations were successfully completed. The operation time was 80 to 150 minutes, with an average of 123 minutes; the amount of intraoperative blood loss was 20 to 80 ml, with an average of 40 ml; and the hospitalization time was 4 to 10 days, with an average of 5 days. 2 cases of postoperative seroma occurred and cured after puncture and drainage; 4 cases of abdominal distension were released within 3 days; 2 cases of postoperative pain alleviated after treatment with analgesics; 2 cases of wound infection cured after dressing treatment. No serious complication was found, such as abdominal compartment syndrome, intestinal injury, etc. All patients were followed up for 3 to 24 months with an average of 1 month, without hernia recurrence. Conclusion Laparoscopic minimally invasive surgery for abdominal incisional hernia patients is safe and feasible after given active preoperative preparation. It can promote the rehabilitation of patients, and reduce the occurrence of incisional hernia complications and recurrence, and is worthy of further promotion. Key words: Laparoscopy; Incisional hernia; Clinical efficacy