Gilsdorf R B, Shea M M
Am J Surg. 1975 Dec;130(6):634-8. doi: 10.1016/0002-9610(75)90411-0.
Marlex mesh was used to close the abdominal wall defect in six patients with septic wound dehiscence and intra-abdominal infection. The mesh was implanted under local anesthesia and served as a protective covering for the bowel and allowed early ambulation, including prone positioning of the patient for easier wound care. In four surviving patients, the Marlex mesh was covered by full thickness skin flaps after granulation tissue had covered the material. No patients had infected sinus tract formation or extrusion. Two patients had incisional hernias develop when the Marlex mesh was not sutured to the abdominal wall permanently. The use of Marlex mesh to cover infected defects in the abdominal wall when primary closure cannot be accomplished is suggested by our experience.
使用Marlex网片对6例伴有感染性伤口裂开和腹腔内感染的患者进行腹壁缺损修补。网片在局部麻醉下植入，作为肠管的保护性覆盖物，并允许患者早期活动，包括采取俯卧位以便于伤口护理。在4例存活患者中，当肉芽组织覆盖网片材料后，Marlex网片被全厚皮瓣覆盖。没有患者出现感染性窦道形成或网片挤出。当Marlex网片未永久缝合至腹壁时，有2例患者发生了切口疝。根据我们的经验，建议在无法进行一期缝合时，使用Marlex网片覆盖腹壁感染性缺损。
