Gillion J F, Bégin G F, Marecos C, Fourtanier G
Clinique du Sud, Thiais, France.
Am J Surg. 1997 Jul;174(1):16-9. doi: 10.1016/S0002-9610(97)00047-0.
Few large studies of the use of expanded polytetrafluoroethylene (ePTFE) in incisional hernia repairs have been done. We performed such a study of ePTFE patches implanted extraperitoneally or intraperitoneally.
The records of all patients in whom an ePTFE patch was used to repair an incisional hernia in 1987 to 1994 were reviewed retrospectively.
An ePTFE patch was implanted in 158 patients, extraperitoneally in 98 and intraperitoneally in 60. There were no perioperative deaths. Serious postoperative complications, including 3 cases of sepsis (intraperitoneally placed patch), occurred in 6 patients (4%). With a mean follow-up of 37 months (range 12 to 90), there were 2 cases of late sepsis (with an extraperitoneal patch) and 6 recurrences (4 with an intraperitoneal patch).
The ePTFE prostheses used in incisional hernia repair are well tolerated in the intraperitoneal position. Their effectiveness in the extraperitoneal position may be comparable to that of mesh but with a lower rate of sepsis.
关于在切口疝修补术中使用膨体聚四氟乙烯（ePTFE）的大型研究较少。我们对经腹膜外或经腹膜内植入ePTFE补片进行了这样一项研究。
回顾性分析1987年至1994年期间所有使用ePTFE补片修复切口疝患者的记录。
158例患者植入了ePTFE补片，其中98例经腹膜外植入，60例经腹膜内植入。无围手术期死亡病例。6例患者（4%）出现严重术后并发症，包括3例脓毒症（经腹膜内放置补片）。平均随访37个月（范围12至90个月），有2例迟发性脓毒症（经腹膜外补片）和6例复发（4例经腹膜内补片）。
用于切口疝修补的ePTFE假体在腹膜内位置耐受性良好。它们在腹膜外位置的有效性可能与网片相当，但脓毒症发生率较低。
