Arnaud J P, Tuech J J, Pessaux P, Hadchity Y
Department of Visceral Surgery, CHU Angers, France.
Arch Surg. 1999 Nov;134(11):1260-2. doi: 10.1001/archsurg.134.11.1260.
The therapeutic problems of giant incisional hernias of the abdominal wall are often difficult to resolve. The technique of repair must make up for the loss of abdominal wall substance and reestablish the interplay of the abdominal musculature. The use of prosthetic materials complies with these 2 imperatives.
The results of surgical treatment of postoperative incisional hernias by intraperitoneal insertion of Dacron mesh and an aponeurotic graft were evaluated.
Retrospective study of 250 patients in a university hospital.
Postoperative mortality was 0.8%. Five patients (2%) developed a subcutaneous infection that did not affect the prosthesis. Another 5 patients (2%) developed a deep-seated infection that necessitated removal of the mesh in 3 cases. Eight patients (3.2%) had recurrence of incisional hernia.
This retrospective study shows that giant abdominal wall hernias can be efficiently treated by the intraperitoneal positioning of Dacron mesh and an aponeurotic graft.
腹壁巨大切口疝的治疗问题往往难以解决。修复技术必须弥补腹壁组织的缺失，并重建腹部肌肉组织的相互作用。使用人工合成材料符合这两个要求。
评估通过腹腔内植入涤纶补片和腱膜移植物对术后切口疝进行手术治疗的结果。
对一家大学医院的250例患者进行回顾性研究。
术后死亡率为0.8%。5例患者（2%）发生皮下感染，但未影响补片。另有5例患者（2%）发生深部感染，其中3例需要取出补片。8例患者（3.2%）出现切口疝复发。
这项回顾性研究表明，通过腹腔内放置涤纶补片和腱膜移植物可有效治疗巨大腹壁疝。
