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

摘要：

【摘要】 目的 总结巨大腹壁切口疝无张力修补手术的临床经验。方法 回顾性分析2006年12月至2011年12月我科收治的53例巨大腹壁切口疝患者的临床资料。结果 所有病例均采用聚丙烯网片行巨大切口疝无张力修补术。术后除出现4例切口皮下积液,5例切口感染, 3例低蛋白血症,2例伤口活动性渗血致切口延迟愈合外,其余患者均顺利恢复,痊愈出院。平均住院时间9.5 d。本组病例均得到随访,随访时间1~5年,无复发,疗效满意。结论 应用人工补片行腹壁巨大切口疝修补术是一种安全可靠,疗效确切的治疗方法,采用SUBLAY修补法的改良方法挤接法(Bridge)进行手术,并发症少,复发率低,有利于提高手术成功率。

关键词: 腹壁切口疝, 外科手术, 无张力疝修补术, 补片