Utrera González A, de la Portilla de Juan F, Carranza Albarrán G
Department of General and Gastrointestinal Surgery, Hospital Juan Ramón Jiménez, Huelva, Spain.
Am J Surg. 1999 Apr;177(4):291-3. doi: 10.1016/s0002-9610(99)00041-0.
Several methods for using a prosthetic material to repair incisional hernias have been described, but only one previous report discussed pure intraperitoneal placement of expanded polytetrafluoroethylene (ePTFE).
Retrospective review of medical records of 84 patients in whom pure intraperitoneal placement of ePTFE was used between March 1995 and October 1997.
No intraoperative complications occurred. Postoperatively, 2 patients required mechanical ventilation, 5 had seromas, 3 had hematomas, 1 had an abscess, and 1 had wound necrosis. There was 1 death due to necrotizing fascitis. The prosthesis infection rate was 1.7%. During follow-up ranging from 1 to 3 years, there were 2 hernia recurrences.
Pure intraperitoneal placement of ePTFE has several advantages over other techniques, including minimal dissection and, possibly, a decreased risk of infection.
已经描述了几种使用假体材料修复切口疝的方法，但之前只有一份报告讨论了膨体聚四氟乙烯（ePTFE）的单纯腹膜内放置。
回顾性分析1995年3月至1997年10月期间84例使用ePTFE单纯腹膜内放置的患者的病历。
术中无并发症发生。术后，2例患者需要机械通气，5例出现血清肿，3例出现血肿，1例出现脓肿，1例出现伤口坏死。有1例因坏死性筋膜炎死亡。假体感染率为1.7%。在1至3年的随访期间，有2例疝复发。
ePTFE单纯腹膜内放置相对于其他技术有几个优点，包括最小限度的解剖分离，并且可能降低感染风险。
