Berry Mark F, Paisley Sonya, Low David W, Rosato Ernest F
Division of Gastrointestinal Surgery, Department of Surgery, University of Pennsylvania School of Medicine, 3400 Spruce St, Philadelphia, PA 19104, USA.
Am J Surg. 2007 Aug;194(2):199-204. doi: 10.1016/j.amjsurg.2006.10.031.
Recurrent incisional hernia repair is associated with high recurrence and wound complication rates.
The clinical courses of patients who underwent recurrent incisional hernia repair via retromuscular mesh placement with concomitant panniculectomy at a university teaching hospital from 1999 to 2004 were reviewed retrospectively. Postoperative evaluation included a quality of life survey.
Forty-seven patients (13 male, 34 female) with an average body mass index of 34.4 kg/m2, an average midline hernia defect of 31.4 cm, and at least 1 and on average 2.5 previous repair attempts underwent hernia repair. Wound infections occurred in 4 patients (8%) and seromas requiring aspiration occurred in 1 patient (2%). Four patients (8%) had re-recurrences of their hernias. All patients rated the postoperative appearance of their abdomen as at least satisfactory.
Recurrent incisional hernia repair with a retromuscular mesh and panniculectomy has low recurrence and wound complication rates and excellent patient satisfaction.
复发性切口疝修补术与高复发率和伤口并发症发生率相关。
回顾性分析1999年至2004年在一所大学教学医院接受经肌后补片置入联合腹壁成形术治疗复发性切口疝患者的临床病程。术后评估包括生活质量调查。
47例患者（男性13例，女性34例）接受疝修补术，平均体重指数为34.4kg/m²，平均中线疝缺损为31.4cm，既往至少接受过1次、平均2.5次修补尝试。4例患者（8%）发生伤口感染，1例患者（2%）出现需要抽吸的血清肿。4例患者（8%）疝复发。所有患者对术后腹部外观的评价至少为满意。
经肌后补片联合腹壁成形术治疗复发性切口疝复发率和伤口并发症发生率低，患者满意度高。
