Sowula Aleksander, Fryc Bogusława, Wermiński Krzysztof
Z Oddziału Chirurgii Ogólnej Szpitala im L Rydygiera w Katowicach.
Wiad Lek. 2005;58(9-10):575-7.
In this work the results of autopsy are presented--of a 45 years old man who died because of complications of cirrhosis in 24 months after repairing a postoperative hernia with the Matapurkar's "peritoneal sandwich" and polypropylene mesh. Macroscopically and histopathologically it has been shown that gradual healing of the mesh ends with formation of alloplastic-tissue connective structure, called neofascia that fills in the defect in fascia of the abdominal wall. Inflammatory process around implanted mesh maintains even after several months. It seems that parietal peritoneum of hernia sac that surrounds polypropylene mesh may have a tendency towards metaplasia in the direction of tissue-connective fascia layer.
本文展示了一名45岁男性的尸检结果。该男子在采用马塔普尔卡氏“腹膜夹层”和聚丙烯网片修复术后疝24个月后,因肝硬化并发症死亡。大体及组织病理学检查显示,网片逐渐愈合,最终形成一种称为新筋膜的异质组织结缔结构,填充腹壁筋膜缺损。植入网片周围的炎症过程即使在数月后仍持续存在。似乎围绕聚丙烯网片的疝囊壁腹膜可能有向组织结缔筋膜层方向化生的倾向。