Ferranti Fabrizio, Triveri Paolo, Mancini Pietro, Di Paola Massimo
Struttura Complessa di Chirurgia Generale Ospedale San Paolo, Civitavecchia, Roma.
Chir Ital. 2003 Jan-Feb;55(1):129-36.
Incisional hernia is a common problem after abdominal surgery. Many repair techniques with prosthetic meshes have been proposed but there is no general agreement as to the best choice. Our retrospective experience with 35 patients treated using a large polypropylene mesh placed beneath the rectus muscles and above the peritoneum (Stoppa-Rives technique) is reported. There was no operative mortality. Major postoperative complications occurred in 7 (20%) patients. Wound infection developed in 5 (14.2%) patients and in one case the mesh had to be removed. The recurrence rate was 2.8%. In conclusion, retrorectus preperitoneal mesh repair is an effective technique with a low recurrence rate and very few postoperative complications.
切口疝是腹部手术后的常见问题。已经提出了许多使用人工补片的修复技术，但对于最佳选择尚无普遍共识。本文报告了我们对35例采用置于腹直肌下方和腹膜上方的大聚丙烯补片（Stoppa-Rives技术）治疗的患者的回顾性经验。无手术死亡病例。7例（20%）患者发生了主要术后并发症。5例（14.2%）患者出现伤口感染，其中1例不得不取出补片。复发率为2.8%。总之，腹直肌后腹膜前补片修补术是一种有效的技术，复发率低，术后并发症极少。
