腹腔镜腹壁切口疝修复术丨医学英语视听学习

Laparoscopic Ventral and Incisional Hernia Repair

腹腔镜腹壁切口疝修复术

Your doctor may recommend laparoscopic surgery to repair a ventral incisional hernia. 

医生可能推荐腹腔镜手术修补腹壁切口疝。

A ventral incisional hernia can be seen as an abnormal bulge beneath the skin of your abdomen. The bulge may be your intestines, which are located inside your abdomen.  

腹壁切口疝可视为腹部皮肤下的异常隆起，可能是腹内的肠凸起。

A thin membrane called the peritoneum covers most of your abdominal organs, including your intestines. Your abdominal muscles surround the peritoneum and your skin covers the abdominal wall. These three layers cushion and protect your internal organs.

一层称为腹膜的薄膜包裹大多数腹部器官，包括肠。腹肌包饶腹膜，皮肤覆盖在腹壁上。这三层缓冲并保护腹内的器官。

If you have had abdominal surgery in the past, a ventral hernia may appear at the site of your surgical scar. Here, your intestine pushes through a weakened spot in the tissue between your abdominal muscles creating a bulge beneath your skin. The peritoneal tissue surrounding the herniated intestine is called the hernia sac. 

如果患者既往曾接受腹部手术，则手术疤痕处可能出现腹疝。此时，肠通过腹壁之间的薄弱点突出，在皮肤下形成凸起。包饶肠疝的腹膜组织称为疝囊。

If your hernia is not repaired, complications may occur. For example, the hernia opening may trap a loop of your intestine, which can partially or completely block passage of its contents resulting in a condition called intestinal obstruction. Symptoms such as pain, vomiting, and constipation may occur. 

如果不修复疝气，则可能发生并发症。例如，肠袢卡在疝开口处，可部分或完全阻塞肠内容物通过，引起肠梗阻，导致患者出现疼痛、呕吐和便秘等症状。

Intestinal obstruction may cause strangulation, a condition in which blood flow is cut off to your intestine. As a result, a segment of your intestine may die. 

肠梗阻可能导致绞窄，即肠道血流被切断。因此，发生绞窄的肠段可能会坏死。

Before your procedure, an intravenous line will be started and you may be given a sedative to help you relax. You will be given general anesthesia which will put you to sleep for the duration of the operation. A breathing tube will be temporarily inserted through your mouth and into your throat to help you breathe during the operation. A catheter may also be placed in your bladder to drain your urine.

手术前，医生将开始给患者静脉输液，给予镇静剂使其放松；给予全身麻醉，使患者手术期间入睡；将临时呼吸管经患者口腔插入喉，帮助其术中呼吸；放置导尿管帮助排尿。

To begin the procedure, your surgeon will make a small incision in your abdomen, then place a small tube called a port into the incision. Your surgeon will pump carbon dioxide gas through the port into your abdomen, expanding it to allow him or her to see your abdominal organs more easily. 

手术开始时，医生将在患者腹部做一个小切口，然后将一个小管，即端口放置入切口。医生将CO2气体通过端口泵入患者腹内，使其扩张，以便更容易观察腹内器官。

Next, your surgeon will make another incision near your umbilicus or belly button and insert another small port. Through this port your surgeon will insert a laparoscope, which is a tiny camera that projects images onto a TV monitor to guide your surgeon's work. While viewing the inner surface of your abdomen, your surgeon will make two more incisions and insert two more ports. 

接着，医生将在患者肚脐附近做另一个切口，插入另一个小端口。医生通过该端口，插入腹腔镜，微型摄像机将图像投射到电视监视器上，指导医生手术。观察患者的腹部内表面时，医生将再做两个切口，插入两个端口。

Next, your surgeon will insert narrow surgical instruments through these ports to begin the repair. Scar tissue from previous operations will be removed if necessary. Then your surgeon will cut away the hernia sac, allowing your intestine to return to its proper location in your abdomen. 

然后，医生将通过这些端口插入手术器械，开始修复疝气。如必要，医生将切除既往手术留下的疤痕组织。然后，医生将切开疝囊，将肠推入腹内正常位置。 

Next, your surgeon will suture a piece of mesh over the weak spot in the abdominal wall to prevent your intestine from slipping back through the opening. Your surgeon will examine the area for bleeding or other damage and repair as necessary. A port valve will be left in place briefly to allow all the carbon dioxide to escape from the abdomen.

接下来，医生将在患者腹壁的薄弱点上缝合网片，防止肠通过开口滑出。如有需要，医生将检查该区域是否出血或出现其他损伤，以及修复情况，暂时不动气门口，使所有CO2排出腹腔。

Finally, your surgeon will remove the instruments and close the incisions with sutures or staples.

最后，医生将取出器械，使用缝线或缝合钉闭合切口。

After your procedure, the breathing tube and catheter will be removed. And you will be taken to the recovery area for monitoring. You will be given pain medication as needed. 

手术后，取出呼吸管和导尿管，将患者转至康复室进行监测，必要时给予止痛药止痛。

When you are able to drink liquids, your intravenous line will be removed. You may go home the same day or stay overnight in the hospital. 

当患者能够摄入流体时，移除静脉输液装置。手术当日或次日，患者可出院回家。

To aid the healing of your hernia, avoid heavy lifting, bending, and twisting for several weeks after your procedure.

为帮助疝气愈合，请在术后数周内，避免提重物，弯腰以及扭动。