Sharma Atul K, Bindra Hardeep S
Classified Specialist (Surgery), Chandimandir 134 107.
Graded Specialist (Surgery), Command Hospital (WC), Chandimandir 134 107.
Med J Armed Forces India. 1995 Apr;51(2):107-109. doi: 10.1016/S0377-1237(17)30939-5. Epub 2017 Jun 26.
Surgery for recurrent incisional hernia is followed by further recurrence in nearly half the patients. Majority of these failures are due to wound complications and factors which give rise to an increased strain on the suture line. In an effort to counter the risk factors, continuous monofilament nylon loop suture was used in the anatomical repair of 15 patients with recurrent and complicated incisional hernia. After a median follow up of 14 months only one patient (6.6%) developed a recurrence, despite selecting only poor-risk patients. This technique for anatomical repair of incisional hernia seems safe and dependable.
复发性切口疝手术后,近一半的患者会再次复发。这些手术失败大多是由于伤口并发症以及导致缝线处张力增加的因素。为了应对这些风险因素,我们采用连续单丝尼龙环缝合法对15例复发性和复杂性切口疝患者进行解剖修复。在中位随访14个月后,尽管仅选择了高风险患者,但只有1例患者(6.6%)出现复发。这种切口疝解剖修复技术似乎安全可靠。