Sloan D A
Department of Surgery, University of Kentucky Chandler Medical Center, Lexington 40536-0084.
Am Surg. 1994 Apr;60(4):282-6.
The surgical insertion of an absorbable sling mesh has become the most promising technique for excluding the small bowel from the pelvis prior to radiotherapy. Both human and animal studies suggest that this procedure is very safe. The author reports what appears to be the first significant mesh-related complication. A 69-year-old man suffered early postoperative complete mechanical small bowel obstruction after insertion of a polyglactin 910 (Vicryl) surgical sling mesh at the time of low anterior resection for a stromal sarcoma of the rectum. Urgent laparotomy was required and revealed that the Vicryl mesh was associated with an intense inflammatory reaction. Radiation therapy is a critical component of contemporary multimodal treatment of patients with rectal cancer. This case suggests that inserting biodegradeable mesh to protect the small bowel from radiation effects is not without complications.
可吸收吊带网片的手术植入已成为在放疗前将小肠与盆腔隔开的最具前景的技术。人体和动物研究均表明该手术非常安全。作者报告了似乎是首例与网片相关的严重并发症。一名69岁男性在因直肠间质肉瘤行低位前切除术时植入聚乙醇酸910（薇乔）手术吊带网片后，术后早期出现完全性机械性小肠梗阻。需要紧急剖腹探查，结果显示薇乔网片伴有强烈的炎症反应。放射治疗是当代直肠癌患者多模式治疗的关键组成部分。该病例表明，插入可生物降解网片以保护小肠免受辐射影响并非没有并发症。
