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使用聚丙烯网片修补的巨大切口疝

Giant incisional hernias closed with polypropylene mesh.

作者信息

Kjeldsen H, Gregersen B N

出版信息

Scand J Plast Reconstr Surg. 1986;20(1):119-21. doi: 10.3109/02844318609006305.

DOI:10.3109/02844318609006305
PMID:3775280
Abstract

Giant incisional hernias are treated in many different ways involving risks and various degrees of mutilation. We prefer the use of polypropylene mesh (PPM) which is manufactured as Prolene or Marlex mesh. It is easy to handle, has great tensile strength and produces minimum tissue reaction. These qualities make PPM a good substitute for abdominal fascia and the procedure becomes simpler and less extensive than with the use of dermal grafts, flap transfers or other methods. This series consists of twenty-four patients. The results were good in 20 patients (85%). Recurrence of the hernia occurred in two patients (7.5%) and weakness of the abdominal muscles in two others.

摘要

巨大切口疝的治疗方法多种多样,都存在风险且会造成不同程度的毁损。我们更倾向于使用聚丙烯网片(PPM),它以普理灵或美立织网片的形式生产。它易于操作,具有很高的拉伸强度,并且产生的组织反应最小。这些特性使PPM成为腹壁筋膜的良好替代品,与使用皮片移植、皮瓣转移或其他方法相比,该手术变得更简单且范围更小。本系列包括24例患者。20例患者(85%)效果良好。2例患者(7.5%)出现疝复发,另外2例出现腹肌无力。

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