Johnson B, Sharp R, Thursby P
University of Sydney, Australia.
J Cardiovasc Surg (Torino). 1995 Oct;36(5):487-90.
It is thought there is an increased incidence of incisional herniation after the repair of an abdominal aortic aneurysm. We sought to assess this premise by reviewing 281 patients who had undergone abdominal aortic aneurysm repair over the preceding eight years at Concord Hospital. Incisional hernias were found in fourteen patients. This made up 5% of the total group having surgery (281 patients) or 6% of those surviving 12 months or more after operation (231 patients). Of these 231 patients, seven had transverse incision hernias (6.7% of all those with transverse incisions), and seven had vertical incision hernias (5.4% of all those with vertical incisions). Six of the fourteen patients with a hernia had needed an urgent repair of an abdominal aortic aneurysm. We conclude from this study, that there is no evidence of an increased incidence of incisional hernias associated with aneurysmal disease itself. Rather, the factors causing such hernias are common to all laparotomies for major disease in sick, elderly patients, in the absence of intra-abdominal sepsis.
人们认为腹主动脉瘤修复术后切口疝的发生率会增加。我们通过回顾在康科德医院过去八年中接受腹主动脉瘤修复术的281例患者来评估这一假设。在14例患者中发现了切口疝。这占接受手术的总人数（281例患者）的5%，或占术后存活12个月及以上患者（231例患者）的6%。在这231例患者中，7例有横切口疝（占所有横切口患者的6.7%），7例有纵切口疝（占所有纵切口患者的5.4%）。14例有疝的患者中有6例曾需要紧急修复腹主动脉瘤。我们从这项研究得出结论，没有证据表明与动脉瘤疾病本身相关的切口疝发生率增加。相反
