Palmeri R, Barbuscia M, Calbo L, Cucinotta E, Lorenzini C, Melita G, Riso F, Lazzara S
Cattedra di Chirurgia Generale, Scuola di Specializzazione in Chirurgia Generale II, Università degli Studi di Messina.
Chir Ital. 1999 Nov-Dec;51(6):435-9.
The authors report their experience on synthetic prosthesis used in 36 patients with abdominal hernias. Thirty six cases of incisional hernias have been analyzed by Institute of General Surgery of Messina University from 1992 to 1998. Among the 33 cases with median parietal defect, in 7 cases concerning great incisional hernias group a PTEF-e prosthesis, which was positioned in an intraperitoneal site, was employed. In 21 cases of medium size incisional hernias they used a polypropylene prosthesis, which was positioned in an intraparietal or preperitoneal site. In 5 cases of small size incisional hernias, polypropylene prosthesis was placed in a superfascial site. In the 3 cases of medium size lateral laparocele++, polypropylene prosthesis was positioned in a intraparietal site. There was no operative mortality. Among postoperative complications, 4 seromas, 1 parietal and 1 subcutaneous haematoma and 2 haematomas in retroperitoneal site appeared. Clinical-instrumental controls, which have continued until two or three years after the operation were performed which pointed out a recurrence in just one case where the prosthesis was positioned in a superfascial site. To conclude, we consider that nowadays the use of synthetic prosthesis lets us face and solve problems concerning surgical treatment of incisional hernias with confidence.
作者报告了他们在36例腹部疝患者中使用合成假体的经验。墨西拿大学普通外科研究所对1992年至1998年间的36例切口疝病例进行了分析。在33例中位腹壁缺损病例中，7例属于巨大切口疝组，采用了置于腹膜内的PTEF - e假体。21例中等大小切口疝患者使用了置于腹壁内或腹膜前的聚丙烯假体。5例小切口疝患者将聚丙烯假体置于筋膜上。3例中等大小侧方腹壁疝患者将聚丙烯假体置于腹壁内。无手术死亡病例。术后并发症包括4例血清肿、1例腹壁和1例皮下血肿以及2例腹膜后血肿。进行了持续至术后两三年的临床器械检查，结果显示仅1例假体置于筋膜上的病例出现复发。总之，我们认为如今合成假体的使用使我们能够自信地面对并解决与切口疝手术治疗相关的问题。
