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Application of computer tomography-based 3D reconstruction technique in hernia repair surgery

World Journal of Clinical Cases 2020年第23期8卷 5944-5951页

作者： Feng Wang Xiao-Feng Yang Department of General Surgery The First Hospital of Shanxi Medical UniversityTaiyuan 030001Shanxi ProvinceChina Department of Urology The First Hospital of Shanxi Medical UniversityTaiyuan 030001Shanxi ProvinceChina

BACKGROUND Hernia is a common condition requiring abdominal *** current standard treatment for hernia is tension-free repair using ***,more than 200 new types of meshes are licensed each ***,their clinical applications are associated with a series of complications,such as recurrence(10%-24%)and infection(0.5%-9.0%).In contrast,3D-printed meshes have significantly reduced the postoperative complications in *** have also shortened operating time and minimized the loss of mesh *** this study,we used the myopectineal orifice(MPO)data obtained from preoperative computer tomography(CT)-based 3D reconstruction for the production of 3D-printed biologic *** To investigate the application of multislice spiral CT-based 3D reconstruction technique in 3D-printed biologic mesh for hernia repair *** We retrospectively analyzed 60 patients who underwent laparoscopic tension-free repair for inguinal hernia in the Department of General Surgery of the First Hospital of Shanxi Medical University from September 2019 to December *** study included 30 males and 30 females,with a mean age of 40±5.6 *** on the MPO were obtained from preoperative CT-based 3D reconstruction as well as from real-world intraoperative measurements for all *** points were set for the purpose of measurement based on the definition of MPO:A:The pubic tubercle;B:Intersection of the horizontal line extending from the summit of the inferior edge of the internal oblique and transversus abdominis and the outer edge of the rectus abdominis,C:Intersection of the horizontal line extending from the summit of the inferior edge of the internal oblique and transversus abdominis and the inguinal ligament,D:Intersection of the iliopsoas muscle and the inguinal ligament,and E:Intersection of the iliopsoas muscle and the superior pubic *** distance between the points was *** preoperative and intraoperative data were analyze

关键词： Hernia Inguinal myopectineal orifice 3D-printed biologic meshes Computer tomography-based 3D reconstruction Inguinal hernia

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