摘要
目的总结补片修补腹壁巨大切口疝治疗的临床经验。方法回顾性分析35例腹壁巨大切口疝患者的临床资料,其中23例采取腹膜前腹直肌后鞘下置入术,3例采取腹直肌前鞘上补片置入术,9例置于腹膜下补片置入术,随访1～36个月。结果患者均痊愈出院,无严重并发症,4例复发,经再次修补后治愈。结论应用补片修补腹壁巨大切口疝效果良好,选择合理的手术方式及围手术期处理方案可减少术后并发症的发生。
Objective To summarize the clinical experiences of patch repair on giant abdominal incisional hernia. Methods The clinical data of 35 eases of giant abdominal ineisional hernia treated in our hospital were retrospectively ana- lyzed. 23 cases were repaired with Sublay,3 cases with Onblay and 9 eases with Inlay. All eases were followed up during 1 - 36 months. Results All eases were healed and had no serious postoperative eomplieations. 4 eases recurred but were healed after being repaired. Conclusion Patch repair is an effective surgical procedure for giant abdominal incisional hernia, Choosing the proper way of operation and perioperative management can reduce the possibility of postoperative complications.
出处
《中国医学创新》
CAS
2010年第26期42-43,共2页
Medical Innovation of China
关键词
腹壁巨大切口疝
人工补片
开放性手术治疗
Abdominal giant incisional hernia
Artificial patch
Surgical treatment
