采用渐进性气腹和肌后人工材料疝修补术治疗切口疝

Incisional hernia treatment with progressive pneumoperitoneum and retromuscular prosthetic hernioplasty.

作者信息

Toniato Antonio, Pagetta Costantino, Bernante Paolo, Piotto Andrea, Pelizzo Maria Rosa

机构信息

Department of Medical and Surgical Sciences, 3rd Clinic of General Surgery, University of Padua, Via Giustiniani 2, 35128 Padua, Italy.

出版信息

Langenbecks Arch Surg. 2002 Oct;387(5-6):246-8. doi: 10.1007/s00423-002-0316-8. Epub 2002 Sep 26.

DOI:10.1007/s00423-002-0316-8

PMID:12410362

Abstract

BACKGROUND AND AIM

Major incisional hernias of the abdominal wall often pose a serious surgical problem. The choice between simple suture repair and mesh repair remains uncertain.

METHODS

Seventy-seven patients underwent surgery to repair large abdominal incisional hernias, i.e., with parietal defects of 10 cm or more, by retromuscular prosthetic hernioplasty between 1996 and 1999. All patients were treated preoperatively by progressive pneumoperitoneum and were followed up for 2-5 years (mean 38.3 months).

RESULTS

Almost all patients tolerated the pneumoperitoneum; no postoperative death occurred. Six patients developed a subcutaneous infection but none of them required removal of the mesh. Two patients (2.6%) had recurrent incisional hernia.

CONCLUSIONS

This study shows that pneumoperitoneum is useful in preparing patients for incisional hernioplasty. Retromuscular mesh repair represents an appropriate surgical procedure, particularly in view of its low rate of recurrence.

摘要