关键词: 切口疝, 腹壁疝, 危险因素, 坏死性胰腺炎, 胰腺清创

Abstract: 【Abstract】〓Objective〓Necrotizing pancreatitis (NP) patients frequently underwent pancreatic debr-idement with risk factors for incisional hernia (IH). However, no published data exist the regarding incidence of IH in NP. The aim of the current study was to define the incidence of and identify risk factors for developing IH after pancreatic debridement. Methods〓Hernia presence was determined by clinical examination and patient interview. Technical and clinical considerations were noted: type of incision, closure, suture material, age, body mass index (BMI), diabetes mellitus (DM), preoperative albumin, and number of operations. Results〓Sixty-three (42%) of 149 debrided patients with NP developed IH. IH patients were older than those without IH(P<0.05). No differences in surgical technique or clinical risk factors were seen between groups. Conclusion〓The incidence of IH in NP patients requiring operative debridement is substantially higher than that in patients undergoing routine laparotomy. Innovative fascial closure techniques such as primary fascial buttress with nonsynthetic mesh should be considered.

Key words: Incisional hernia, Ventral hernia, Risk factors, Necrotizing pancreatitis, Pancreatic debridement