Matapurkar B G, Gupta A K, Agarwal A K
Department of General Surgery, Safdarjang Hospital, New Delhi, India.
World J Surg. 1991 Nov-Dec;15(6):768-70. doi: 10.1007/BF01665314.
Repair of a large abdominal wall incisional hernia is a difficult surgical problem with recurrence being a common complication. In addition, other complications such as hematomas, seromas, and sinus formation result from the use of foreign material. A new technique to obviate these complications was used in 60 patients with large incisional hernias repaired over the last 15 years. Marlex polypropylene mesh was used for repair, sandwiched between 2 layers of peritoneum of the overstretched hernia sac. There was no operative mortality and no recurrence in follow up from 3 years to 7 years. Postoperative complications encountered could be managed conservatively, without necessitating any major surgical procedure or mesh removal.
修复大型腹壁切口疝是一个棘手的外科问题，复发是常见的并发症。此外，使用外来材料还会导致其他并发症，如血肿、血清肿和窦道形成。在过去15年中，一种避免这些并发症的新技术应用于60例大型切口疝修补患者。使用Marlex聚丙烯网片进行修补，将其夹在过度伸展的疝囊的两层腹膜之间。随访3至7年，无手术死亡病例，也无复发。所遇到的术后并发症可通过保守治疗处理，无需进行任何大型外科手术或取出网片。
