腹腔镜腹壁切口疝修补术的围手术期整体护理干预

Perioperative nursing for patients undergoing laparoscopic incisional hernia repair

目的探讨腹腔镜治疗腹壁切口疝围手术期的护理方法。方法对我院2010年1月至2014年12月间接受腹腔镜腹壁切口疝修补术的46例患者进行围手术期针对性护理干预,对治疗效果和护理要点进行分析。结果手术时间64-184 min,平均（102±26）min。无围手术期死亡病例。术后出现轻度腹胀4例,血清肿3例,腹壁修补区疼痛6例。无切口或补片感染。术后住院4-11 d,平均6.7±1.2 d。随访6-31个月,平均21.4个月,无切口疝复发。结论对接受腹腔镜腹壁切口疝修补术的患者实施全程、优质的心理辅导、个体化专科护理及健康教育等整体护理干预,可有效预防或减少术后并发症,促进早日康复。

Objective To summarize perioperative nursing experience for patients undergoing laparoscopic incisional hernia repair. Methods The laparoscopic mesh repair was performed for 46 patients with incisional hernia from January 2010 to December 2014 in our hospital, the clinical effects of nursing intervention were retrospectively analyzed. Results All operations were successfully performed without severe morbidity and mortality. The operative time was 64-184 min （mean, 102± 26 min）. Postoperative complications included abdominal distension （4 cases）, seroma （3 cases）, pain in operative area （6 cases）. No incisional infection or mesh rejection occurred. The postoperative hospital stay ranged from 4 toll days （mean, 6.7±1.2 days）. No recurrence occurred during the follow-up period of 6-31 months （mean, 21.4 months）. Conclusion The implementation of perioperative individualized nursing intervention for patients undergoing laparoscopic incisional hernia repair can effectively improve the treatment effect, reduce postoperative complications and accelerate the recovery of patients.