Ammar Samir A
Surgery Department, Assiut University Hospitals, El Gamma Street, Assiut, Egypt. Email:
J Clin Med Res. 2009 Oct;1(4):226-9. doi: 10.4021/jocmr2009.10.1268. Epub 2009 Oct 16.
Surgical management of giant ventral hernias is a surgical challenge due to limited abdominal cavity. This study evaluates management of giant ventral hernias using polypropylene mesh and host tissue barrier after suitable preoperative preparation.
In the period from January 2005 and January 2007, 35 patients with giant ventral hernias underwent hernia repair. After careful preoperative preparation, repair was done using polypropylene mesh. The mesh was separated from the viscera by a small part of the hernia sac and the greater omentum.
The average age of the patients was 52. Twenty patients had post-operative incisional and 15 had para-umbilical hernias. The mean hernia defect size was 16.8 cm. Mean body mass index was 33. Follow up ranged from 18-36 months. No patient required ventilation after operation. Recurrent seroma, which responded to repeated aspiration, was experienced in 4 patients. Minor wound infection was observed in 5 patients. Small hernia recurrence occurred in one patient.
The use of polypropylene and host tissue barrier after suitable preoperative preparation is relatively simple, safe, and reliable surgical solution to the problem of giant ventral hernia.
Hernia repair; Giant ventral hernia; Polypropylene mesh.
由于腹腔空间有限，巨大腹疝的外科治疗是一项手术挑战。本研究评估了在适当的术前准备后，使用聚丙烯补片和宿主组织屏障治疗巨大腹疝的效果。
2005年1月至2007年1月期间，35例巨大腹疝患者接受了疝修补术。经过仔细的术前准备后，使用聚丙烯补片进行修补。补片通过一小部分疝囊和大网膜与内脏分离。
患者的平均年龄为52岁。20例患者为术后切口疝，15例为脐旁疝。平均疝缺损大小为16.8厘米。平均体重指数为33。随访时间为18至36个月。术后无患者需要通气。4例患者出现反复抽吸有效的复发性血清肿。5例患者观察到轻微伤口感染。1例患者出现小的疝复发。
在适当的术前准备后使用聚丙烯和宿主组织屏障是解决巨大腹疝问题相对简单、安全且可靠的手术方法。
疝修补术；巨大腹疝；聚丙烯补片
