Holland A J, Castleden W M, Norman P E, Stacey M C
Department of Plastic and Reconstructive Surgery, Fremantle Hospital, Australia.
Eur J Vasc Endovasc Surg. 1996 Aug;12(2):196-200. doi: 10.1016/s1078-5884(96)80106-7.
To test the hypothesis that incisional hernia was a more frequent complication following aortic reconstructive surgery in patients with aneurysmal as opposed to occlusive aortic disease.
A retrospective review.
All patients having aortic reconstructive surgery at a teaching hospital between 1988 and 1992 were identified and recalled to be examined for evidence of an incisional hernia.
Of the 134 patients having aortic reconstructive surgery, 87 were available to be examined by an independent clinician. The overall incisional hernia rate was 28%. Patients with aneurysmal disease were significantly more likely to develop an incisional hernia after elective surgery than patients with occlusive disease (p = 0.04). None of the other variables investigated, including age, chronic obstructive airways disease, diabetes, smoking, wound infection, obesity, length of intensive care unit stay and number of units of blood transfused, were significantly related to the complication of incisional hernia.
Incisional hernia is a common complication of aortic reconstructive surgery, especially in patients with aneurysmal disease.
检验以下假设，即与闭塞性主动脉疾病患者相比，动脉瘤患者在接受主动脉重建手术后发生切口疝的并发症更为常见。
一项回顾性研究。
确定1988年至1992年间在一家教学医院接受主动脉重建手术的所有患者，并召回进行检查，以寻找切口疝的证据。
在134例接受主动脉重建手术的患者中，87例可供独立临床医生检查。切口疝的总体发生率为28%。与闭塞性疾病患者相比，动脉瘤疾病患者在择期手术后发生切口疝的可能性显著更高（p = 0.04）。所研究的其他变量，包括年龄、慢性阻塞性气道疾病、糖尿病、吸烟、伤口感染、肥胖、重症监护病房住院时间和输血量，均与切口疝并发症无显著相关性。
切口疝是主动脉重建手术的常见并发症，尤其是在动脉瘤疾病患者中。
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