Ciurea M, Ion D, Pariza G, Mavrodin Carmen Iuliana
Clinica chirurgie III, Spitalul Universitar de Urgenţă, Bucureşti.
Chirurgia (Bucur). 2008 Mar-Apr;103(2):211-7.
After 20 years of reconstructive abdominal wall surgery and almost five thousand surgical interventions for this pathology, most of them resolved with prosthesis, authors present a retrospective study concerning to increased biocompatibility, world dynamics of alloplastic solution and also the technical surgical problems that appears in incisional hernia repair. There are underlined two concepts: first--the maximal transversal diameter--that define the size of musculo-aponeurosis defect and the span of alloplastic substitution, in opposition to the old idea that allude to the size of hernia sack; the second concept--receptor prosthetic layer--define the interface between abdominal viscera and prosthetic material. This is not just a mechanical divider, being also a conjunctive and vascular support, helping prosthetic tissue integration.
在进行了20年的腹壁重建手术以及针对该病症的近五千次手术干预（其中大多数使用假体解决）之后，作者们开展了一项回顾性研究，内容涉及生物相容性的提高、异体材料解决方案的全球动态以及切口疝修补中出现的手术技术问题。文中强调了两个概念：第一个是“最大横向直径”，它定义了肌肉腱膜缺损的大小和异体替代物的跨度，这与提及疝囊大小的旧观念相反；第二个概念是“受体假体层”，它定义了腹腔脏器与假体材料之间的界面。这不仅仅是一个机械分隔物，还是一个连接和血管支持结构，有助于假体组织的整合。
