关键词: 腹壁切口疝, 外科手术, 无张力疝修补术, 补片

Abstract:

【Abstract】 Objective To summarize the clinical experience of tension-free incisional hernioplasty with artificial material repairing giant incisional hernia of abdominal wall. Methods From December 2006 to December 2011, the clinical data of 53 patients with giant incisional hernia of abdominal wall were analyzed retrospectively. Results All cases underwent giant abdominal incisional hernia tension-free hernioplasty with polypropylene mesh. All the patients were cured and discharged. The complications occurred in 14 cases, including postoperative incision subcutaneous fluid in 4 cases, wound infection in 5 cases, hypoalbuminemia in 3 cases, active bleeding in 2 cases. The average of hospital stay was 9.5 days. Postoperative follow-up time ranged from 1 to 5years, without recurrence. Conclusion The giant incisional hernioplasty with applying artificial mesh is a safe and reliable method. The modified SUBLAY repair method (Bridge) has fewer complications, low recurrence rate, and helps to improve success rate of surgical operation.

Key words: Incisional hernia of abdominal wall, Surgery, Tension-free hernioplasty, Mesh