经腹膜途径行造口旁疝人工补片修补术
Peritoneal approach to prosthetic mesh repair of paraostomy hernias.
作者信息
Sugarbaker P H
出版信息
Ann Surg. 1985 Mar;201(3):344-6. doi: 10.1097/00000658-198503000-00015.
Abstract
A new method for repair of large hernias at stoma sites is presented. The old abdominal incision is reopened and prosthetic mesh is sutured in place aseptically. The bowel courses above the mesh to be secured to the lateral abdominal wall creating a flap valve. Seven paraostomy hernia repairs in six patients were performed with no recurrences in a 4- to 7-year follow-up. The peritoneal approach to insertion of prosthetic mesh into the hernia defect is recommended especially for recurrent paraostomy hernias. This technique is appropriate for a hernia that possesses a large fascial defect.
摘要
本文介绍了一种修复造口部位大疝的新方法。重新打开原腹部切口，将人工补片无菌缝合到位。肠管在补片上方走行并固定于侧腹壁，形成一个瓣状瓣膜。对6例患者进行了7例造口旁疝修补术，在4至7年的随访中无复发。尤其对于复发性造口旁疝，推荐采用经腹膜途径将人工补片置入疝缺损处。该技术适用于存在大的筋膜缺损的疝。
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