腹直肌后腹膜前置入人工补片修补腹壁巨大切口疝

Huge Incisional Hernia Treated by Placing Artificial Mesh between the Peritoneum and the Musculus Rectus Abdominis.

目的：探讨利用生物材料修补腹壁巨大切口疝的疗效.方法：经腹直肌后腹膜前置入人工补片手术修复腹壁巨大切口疝16例,其中初发切口疝12例,复发切口疝4例.结果：16例全部治愈,术后发生皮下积液3例.随访10个月～4a,无复发病例.结论：采用腹直肌后腹膜前置入人工补片治疗腹壁巨大切口疝是安全、有效的.

Objective： To explore the use of artificial mesh in treating huge iusicional hernia. Methods： 16 cases with huge incisional hernia were treated by placing artificial mesh between the peritonemn and the musculus rectus abdominis. Among of them, there are 12 cases with primary incisional hernia and 4 relapsed cases. Results： 16 cases were all healed well. These patients had been followed up for 10 mouths to 4 years, none relapse. Among of them, three patients suffered from subcutaneous fluidify. Conclusion： Placing artificial mesh between the peritoneum and musculus rectus abdominis is a safe and effective method for treating huge incisional hernia.