摘要
目的探讨应用肌腱膜上补片置入手术(premuscular positioning of prosthesis Onlay,ONLAY)修补术治疗腹壁切口疝的治疗。方法 1999年9月至2007年6月应用复合补片修补腹壁切口疝126例。其中男性60例,占47.5%,女性66例,占52.5%,年龄28～89岁,平均58.5岁。上腹部切口疝占36%,下腹部切口疝占64%。按中华医学会外科学会疝和腹壁外科学组分类,大切口疝(疝环缺损5～10 cm)67例,巨大切口疝(疝环缺损≥10cm)59例。均采用肌腱膜上补片置入手术(ONLAY)修补法。结果全部患者顺利完成手术,无死亡病例及严重并发症。平均手术时间95 min(70～120 min),术中平均出血80 ml(60～250 ml),术后住院14.5 d(10～28 d)。术后随访3个月至8年,复发3例,手术复发率为2.38%。结论 ONLAY 手术安全可靠,复发率低,是可以接受的切口疝修补方法。
Objective To evaluate tension-free hernia Onlay repair with premuscular positioning of the prosthesis for the treatment of incisional henia of the abdominal wall. Methods In this study 126 patients with incisional henia were treated with a tension-free manner of hernia repair by using synthetic material ONLAY between September 1999 and June 2007. Results All operations were successful. There was no hospital death or severe postoperative complications. The average age was 58.5 years old ranging from 28 to 89. There were 67 patients in which the abdominal defect ranged from 5 - 10 cm, and 59 patients with abdominal defect ≥ 10 cm. The mean operating time was 95 （70 - 120） min, and the average intraoperative blood loss was 80 ml （60 - 250 ml）, The mean postoperative hospitalization was 14. 5 days（ 10 - 28 d）. Patients were followed-up from 3 to 96 months, and 3 patients suffered from hernia recurrence （ 2. 38% ）. Conclusions The ONLAY repair of incisional hernia of the abdominal wall with synthetic material mesh was a safe procedure,especially for those with large abdominal wall defects.
出处
《中华普通外科杂志》
CSCD
北大核心
2007年第12期915-917,共3页
Chinese Journal of General Surgery
关键词
疝
腹
外科手术
无张力疝修补术
Hernia, ventral
Surgical procedures, operative
Tension free repair
