TAILIEUCHUNG - Recurrent Hernia Prevention and Treatment - part 3

Gislason H, Gronbech JE, Soreide O. Burst bụng và phẩu thuật thoát vị sau khi hoạt động chủ yếu tiêu hóa và so sánh của ba kỹ thuật đóng cửa. Eur J Surg 1995; 161:349-354 34. Trimbos JB, van Rooji J. Số tiền vật liệu khâu cần thiết để đóng vết thương liên tục hoặc gián đoạn: | Technical Pitfalls and Factors that Promote Recurrence Following Surgical Treatment o Table . Multivariate analysis of factors related to hernia recurrence Author Soper 18 Karkalapudi 24 Aly 12 Iqbal 23 Year 1999 2002 2005 2006 N 290 37 100 100 Hernia type 1 1 II l-ll n00 Predictive eE5 Learning group s Vomiting p vomiting p weight lift age p obesity p gagging p belching p hernia size p Other stressors9 p Hiatal size p 9Diaphragmatic stressors cough sneezing vomiting motor vehicle accident weight lifting. Table 8 .4. Factors related to hiatal hernia recurrence yepre f z hernia Size Primary secondary Pillar ch aracteristic short csophsgus Technical - Approh lapatoscopk vs. open factors Surgical experience Knots type intra- extracorporeal Mated Calibrati on Type of suture Mesh Redo Patient - obesitc _ condition Pulmonary disease Constipation Symptoms osGERD recurrence Gaggicg belchiugAetching hicco c hing Associotedci5eascs Weigcoiftin0 Other ma- Gastric C7W1. noeuvers Gastrostomy Mesh Ligamcnttns tere pexia follow up period. Granderath et al. 31 recently showed similar results with satisfactory long-term function but with only reinforcing the hiatus t a portion of polypropylene mesh. r Discusston anp Condusions TreatmeD andtype-IIIrnixedhernias has been a challenge to digestive surgery for the past 30 years. Surgical treatment wasan optih nSorasoOset oftaderly patients someofwhcm were paetiautafly some cases it was associated to emergencies such as gastric voavriui or mọc- irncmf i m. Howavef c results from centres with extensive experience showed low tuiscmette tfati-dard openStansrhoruck or Suansa0 dfmintlapjiroaches thoughecmoctbriefthemcdhsc - Mrtiadte on the bhrih cStìtsi r dst nceotscVsapte ohcyrndtoms without nnyanatomkal x t . AooUabls experienct showr ahc rfnn atl f elrpoeidUT ep-proach fostseatmpntrfPEH in aa-op-erative ttchnictl .

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