Chareton B, Landen S, Bardaxoglou E, Terblanche J, Launois B
Department of Digestive Surgery, University of Rennes, Hôpital Pontchaillou, France.
Acta Chir Belg. 1994 Sep-Oct;94(5):291-4.
Between 1980 and 1990, 25 patients were treated for large incisional hernias using the skin lacing technique. Twenty-four hernias were midline and one was at the site of a McBurney incision. Hernia defects were greater than 10 cm in diameter for 24 patients. A 1 cm-wide uninterrupted segment of skin was harvested from excess skin overlying the hernia and was then alternatively passed through the left and right fascial margins of the hernia. The operative mortality was nil. Two wound abscesses were drained locally and did not mandate removal of the skin lace. After a mean follow-up of 4.9 years, 3 recurrences were observed. Among 22 patients who had a successful repair of their incisional hernia, 20 returned to their previous occupations and two others reported improvement in performing their daily tasks. The skin lacing technique is an interesting alternative to other more sophisticated techniques in the management of large incisional hernias.
1980年至1990年间，25例患者采用皮肤缝合法治疗巨大切口疝。24例疝位于中线，1例位于麦氏切口部位。24例患者的疝缺损直径大于10cm。从疝上方多余的皮肤中切取一条宽1cm的连续皮肤条，然后交替穿过疝的左右筋膜边缘。手术死亡率为零。2例伤口脓肿在局部引流，无需拆除皮肤缝线。平均随访4.9年后，观察到3例复发。在22例成功修复切口疝的患者中，20例恢复了先前的工作，另外2例报告日常活动能力有所改善。在巨大切口疝的治疗中，皮肤缝合法是一种有趣的替代其他更复杂技术的方法。
