应用腹直肌折叠技术的腹白线污染和复发性切口疝的补片修补的组件分离技术。
Closure of midline contaminated and recurrent incisional hernias with components separation technique reinforced with plication of the rectus muscles.
机构信息
Plastic Surgery Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Col. Sección XVI, Tlalpan, CP 14000, Mexico City, Mexico.
出版信息
Hernia. 2013 Feb;17(1):75-9. doi: 10.1007/s10029-012-1012-4. Epub 2012 Nov 22.
PURPOSE
Midline incisional hernia reconstruction by defect closure and reinforcement with either prosthetic or biologic materials has shown to significantly decrease recurrence rates even for complex cases. The purpose of this study is to evaluate outcomes regarding large incisional hernia reconstruction with components separation technique using rectus muscle plication as a reinforcement method.
METHODS
Thirteen patients having large midline incisional hernias and either history of abdominal wall contamination or recurrence in the presence of mesh were treated between January 2007 and December 2011 with closure using components separation technique reinforced by rectus muscle plication.
RESULTS
Average hernia square was 222 cm(2), and mean follow-up was 24 months. Complications occurred in 6 patients with a mean time to resolution of 59 days. One recurrence was present.
CONCLUSIONS
When use of mesh or biologic materials is not desired, rectus muscle plication is a feasible tool as a reinforcement method after large hernia closure with components separation.
目的
通过使用假体或生物材料对缺损进行闭合和加固来修复中线切口疝，即使是复杂病例，也能显著降低复发率。本研究旨在评估使用腹直肌折叠作为加固方法的腹直肌分离技术进行大型切口疝修复的结果。
方法
2007 年 1 月至 2011 年 12 月，对 13 例存在大的中线切口疝、腹壁污染史或存在网片复发的患者，采用腹直肌分离技术闭合，并使用腹直肌折叠进行加固。
结果
平均疝面积为 222cm²，平均随访时间为 24 个月。6 例患者出现并发症，平均解决时间为 59 天。1 例复发。
结论
当不希望使用网片或生物材料时，腹直肌折叠是一种可行的工具，可作为腹直肌分离后大型疝闭合的加固方法。
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