Brekhov E I, Iurasov A V, Gribunov Iu P, Repin I G, Alekseev A K, Cherniaeva N A, Zhitnikov G V
Khirurgiia (Mosk). 2009(10):10-4.
Myofascial defects of lateral abdominal wall and lumbar region occur chiefly after lumbotomy--the most popular access in urosurgery. Meanwhile lumbotomy remains one of the most traumatic accesses through the lateral abdominal wall. Myofascial defects were diagnosed in 48,9% of operated patients with lumbotomy. Of them true postoperative hernias were found in 35,3%; neuropathic hernias - in 13,6%. Since 2002 the originally developed method of lateral abdominal wall reconstruction had been used for the treatment of such patients. The immediate and long-term results (maximal follow-up period 5 years) showed no hernia recurrence or complications in 26 operated patients.
腹壁外侧和腰部的肌筋膜缺损主要发生在腰切口术后——这是泌尿外科手术中最常用的入路。同时，腰切口仍然是通过腹壁外侧的最具创伤性的入路之一。在接受腰切口手术的患者中，48.9%被诊断出存在肌筋膜缺损。其中，35.3%发现有真正的术后疝；神经病理性疝占13.6%。自2002年以来，最初开发的腹壁外侧重建方法已用于治疗此类患者。26例接受手术的患者的近期和长期结果（最长随访期5年）显示无疝复发或并发症。
