Schütter F W, Kiroff P
Klinik für Chirurgie, Knappschaftskrankenhaus Bergmannsheil-Buer, Gelsenkirchen.
Langenbecks Arch Chir. 1995;380(5):249-52. doi: 10.1007/BF00184097.
We report on 27 patients in whom a total of 28 augmented cutis plasties were performed to correct large hernias of the abdominal wall. After closure of the defect by cutis plasty an absorbable mesh is sutured at the fascia 2-3 cm away from the edge of the fascial defect. Postoperatively, 2 subcutaneous seromas had to be punctured. No wound infections were observed. After a first procedure (n = 14) the recurrence rate was 7%, while after correction of recurrent hernias (n = 14) there were 2 failures (14%). Augmentation by the mesh means that high initial stability of the abdominal wall is achieved, allowing transformation of the cutis into a strong fibrous tissue.
我们报告了27例患者，共进行了28次增强性皮肤成形术以纠正腹壁大疝。通过皮肤成形术关闭缺损后，在距筋膜缺损边缘2-3厘米处的筋膜上缝合可吸收网片。术后，2例皮下血清肿需要穿刺引流。未观察到伤口感染。首次手术（n = 14）后的复发率为7%，而复发性疝修补术后（n = 14）有2例失败（14%）。使用网片进行增强意味着腹壁可实现较高的初始稳定性，使皮肤转化为坚韧的纤维组织。
