Goris J A
Arch Surg. 1980 Sep;115(9):1103-7. doi: 10.1001/archsurg.1980.01380090071017.
Nylon mesh was used without closing the skin in 26 patients in whom it was not possible to close the infected abdominal wall without undue tension. A total of 73 meshes were implanted. Major complications consisted of three wound disruptions in two patients and formation of a sinus tract necessitating excision of the mesh in one patient. Definitive closure generally consisted of skin grafting on the granulation tissue growing through the mesh. Mortality was high, due to underlying diseases. In three of 13 survivors, an incisional hernia developed.
26例患者因感染腹壁无法在无过度张力的情况下闭合,故使用尼龙网且未缝合皮肤。共植入73片网片。主要并发症包括2例患者出现3次伤口裂开,1例患者形成窦道,需要切除网片。最终闭合通常包括在通过网片生长的肉芽组织上进行植皮。由于基础疾病,死亡率很高。13名幸存者中有3人发生了切口疝。