Pless T K, Pless J E
Department of Plastic and Reconstructive Surgery, Odense University Hospital, Denmark.
Scand J Plast Reconstr Surg Hand Surg. 1993 Dec;27(4):311-5.
A consecutive series of 32 repairs of massive incisional hernias have been followed up for a median of 45 months (range 8 months to 11 years). The reconstruction was based on the frontal leaf of the rectus abdominis and insertion of free fascia or pedicle flap from the tensor fascia lata muscle combined with transposition of the rectus muscle. Median size of the hernias was 20 x 17 cm (range 6-35 x 8-30). The incidence of risk factors for both recurrence as well as operative complications was high. During the median observation period of 45 months 9 hernias recurred, the main benefit of a successful reconstruction was relief of pain in the abdominal wall and the lower back. We conclude that the method is useful for the treatment of patients with large ventral hernias. Reduction of controllable recurrence risk factors is important, and the treatment requires substantial resources and expertise.
对连续32例巨大切口疝修补术患者进行了随访，中位随访时间为45个月（范围8个月至11年）。重建基于腹直肌前叶，并植入游离筋膜或阔筋膜张肌带蒂皮瓣，同时进行腹直肌移位。疝的中位大小为20×17 cm（范围6 - 35×8 - 30）。复发和手术并发症的危险因素发生率都很高。在45个月的中位观察期内，有9例疝复发，成功重建的主要益处是缓解腹壁和下背部疼痛。我们得出结论，该方法对治疗大型腹疝患者有用。降低可控的复发风险因素很重要，并且该治疗需要大量资源和专业知识。
