Kuś H, Pielka S, Kateusz J, De Palma P
Chair and Clinic for Surgical Traumatology, Medical Academy, Wrocław.
Polim Med. 1992;22(1-2):5-12.
A new procedure in the surgical treatment of large incisional ventral hernias is described. It is based on the use of enlarged relaxation incisions of the abdominal fascia on both sides of the hernia to perform a direct suture of the posterior and superficial fascial layer of the hernia defect without tension. Extensive fascial defects after enlarged side relaxation incisions should be reinforced to prevent a weakness of the ventral abdominal wall. The best material may be a resorbable knitted mesh.
本文描述了一种大型切口疝手术治疗的新方法。该方法基于在疝两侧扩大腹筋膜松弛切口,以无张力方式直接缝合疝缺损的后层和浅层筋膜。扩大侧方松弛切口后出现的广泛筋膜缺损应予以加强,以防止腹前壁薄弱。最佳材料可能是可吸收编织网。