Arer Ilker Murat, Yabanoglu Hakan, Aytac Huseyin Ozgur, Ezer Ali, Caliskan Kenan
Baskent University Adana Teaching and Research Center, Department of General Surgery, Adana, Turkey.
Pan Afr Med J. 2017 Jun 20;27:132. doi: 10.11604/pamj.2017.27.132.9367. eCollection 2017.
Incisional hernia (IH) is one of the most frequent postoperative complications after abdominal surgery. There are multiple surgical techniques described for IH repair. The aim of the study is to evaluate the effect of primary fascial closure on long-term results in retromuscular hernia repair (RHR) for incisional hernias.
A total of 132 patients underwent RHR for IH were included in our study. 109 patients were evaluated in 2009 and 55 patients in 2015 for short and long-term results.
Among 132 patients perfromed RHR, fascia was closed in 107 (81%) and left open in 25 (19%) patients. The mean age of patients was 57.9 ± 11.8 years. Average mesh area was 439.8 ± 194.6 cm, hernia area was 112 ± 77.5 cm and open area after repair was 40.8 ± 43.3 cm. Mean follow-up of 104 patients regarding postoperative complications evaluated in 2009 was 30.7 ± 14.1 months. Recurrent IH was observed in 6 (4.5%) patients according to data collected in 2009. Long-term results were; mean follow-up period was 91 ± 20.2 months (20-112 months) and recurrent IH was observed in 4 (7.3%) patients.
Retromuscular repair for incisional hernia regardless of the fascial closure gives high patient satisfaction, less recurrence rates and complications in long-term follow-up.
切口疝（IH）是腹部手术后最常见的术后并发症之一。针对IH修复有多种手术技术被描述。本研究的目的是评估一期筋膜关闭对切口疝肌后修补术（RHR）长期结果的影响。
共有132例行RHR治疗IH的患者纳入我们的研究。2009年对109例患者进行了短期和长期结果评估，2015年对55例患者进行了评估。
在132例行RHR的患者中，107例（81%）患者的筋膜被关闭，25例（19%）患者的筋膜未关闭。患者的平均年龄为57.9±11.8岁。平均补片面积为439.8±194.6平方厘米，疝面积为112±77.5平方厘米，修补后的开放面积为40.8±43.3平方厘米。2009年评估的104例患者术后并发症的平均随访时间为30.7±14.1个月。根据2009年收集的数据，6例（4.5%）患者观察到复发性IH。长期结果为：平均随访期为91±20.2个月（20 - 112个月），4例（7.3%）患者观察到复发性IH。
无论筋膜是否关闭，切口疝的肌后修补术在长期随访中都能使患者满意度高、复发率低且并发症少。
