Lalezari Sepehr, Caparelli Michael L, Allamaneni Shyam
Johns Hopkins Medicine, 4940 Eastern Ave, Baltimore, MD, 21224, United States.
The Jewish Hospital, 4777 E Galbraith Rd, Cincinnati, OH, 45236, United States.
Int J Surg Case Rep. 2017;41:107-109. doi: 10.1016/j.ijscr.2017.10.002. Epub 2017 Oct 6.
Incisional hernias are a relatively common occurrence after ostomy takedown with a incidence of 30-35%. The use of biologic mesh offers a means to bolster the stoma incision site with a lower risk of infection than synthetic mesh.
This study represents a retrospective chart review of six patients who underwent stoma takedown and had biologic mesh placed in the retrorectus position during repair from March 2015 until March 2016.
There has been a zero-rate of hernia occurrence for the six patients who underwent stoma takedown. No incisional hernias were noted on physical exam with follow up ranging from 11 to 25 months.
We conclude that placement of biologic mesh is a safe and effective way of preventing incisional hernias at stoma sites.
造口回纳术后切口疝相对常见，发生率为30%-35%。使用生物补片可为造口切口部位提供支撑，且感染风险低于合成补片。
本研究是一项回顾性病历审查，涉及2015年3月至2016年3月期间接受造口回纳并在修复过程中于腹直肌后位放置生物补片的6例患者。
6例接受造口回纳的患者疝发生率为零。随访11至25个月，体格检查未发现切口疝。
我们得出结论，放置生物补片是预防造口部位切口疝的一种安全有效的方法。
